Interpregnancy interval (IPI) is associated with adverse perinatal outcomes, but its contribution to severe maternal morbidity (SMM) remains unclear. Both relatively short and long intervals have been associated with adverse perinatal and maternal outcomes. Women with shorter interpregnancy inter-vals tended to be younger and were more likely to have had a previous perinatal death than women in other categories. To summarize, birth-to-pregnancy intervals of six months or shorter are associated with elevated risk of maternal mortality. As compared with interpregnancy intervals of 18 to 23 months, the adjusted odds ratios for interpregnancy intervals shorter than 6 months were 1.4 for … interpregnancy interval was not statistically significant (unadjusted difference in birthweight z-score of −0.25, 95% confidence interval (CI) −0.55, 0.05). A short IPI has been associated with a host of maternal and fetal problems including spontaneous miscarriages, preterm deliveries, low birth weight infants, anemia in pregnancy, preeclampsia, and maternal mortality. An interval of 18 to 23 months is considered the optimal interpregnancy interval, when the risk of preterm birth is 5.7% (1 in 17.1). Interpregnancy intervals (intervals between delivery and conception of the subsequent pregnancy) shorter than 18 months appear to be associated with increased risks of adverse outcomes, including preterm delivery, small-for-gestational-age (SGA) birth, and infant mortality. Interpregnancy intervals are calculated as months from previous live birth to the most recent birth's estimated date of conception. To reduce the risk of pregnancy complications and other health problems, research suggests waiting Association of short interpregnancy interval with adverse outcomes was Effect of interpregnancy interval on risk of spontaneous preterm birth in Emirati* women, United Arab Emirates Fatima Al-Jasmi,1 Fatima Al-Mansoor,2 Aisha Alsheiba,3 Anne O. Carter,4 Thomas P. Carter,5 & M. Moshaddeque Hossain6 Objective To investigate whether a short interpregnancy interval is a risk factor for preterm birth in Emirati women, where there is a From the AFP Editors Short intervals between pregnancies are more commonly associated with adverse effects than long intervals. In conclusion, a short interpregnancy interval of less than 6 months is an independent risk factor for uterine rupture and major maternal morbidity in patients who attempt VBAC, increasing the morbidity rate twofold to threefold. The interpregnancy interval (IPI) also has a bearing on the socioeconomic outlook of the family. the interpregnancy interval was then rounded down to whole months and categorized as follows: <9 months, 9‒11 months, 12–23 months, 24–35 months, and ≥36 months. ●Interpregnancy interval or birth to pregnancy interval – Interpregnancy interval (IPI), also referred to as birth to pregnancy (BTP) interval, is defined as the spacing between a live birth and the beginning of the following pregnancy. A short interpregnancy interval was associated with risks to the fetus and infant, although to a greater extent for younger women (aged 20 to 34 years) than for women 35 years or older. Risks and benefits of an interpregnancy interval of less than 18 months should be reviewed as well. Stuart Jenner/Thinkstock For women with a history of preterm birth and those who have had a prior cesarean delivery and desire a subsequent trial of labor, birth spacing is particularly important, noted Dr. Louis and her colleagues. Interpregnancy interval and perinatal outcomes across Latin America from 1990 to 2009: a large multi-country study LE Mignini,a G Carroli,a AP Betran,b R Fescina,c C Cuesta,a L Campodonico,a B De Mucio,c KS Khand a Centro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina b UNDP/UNFPA/WHO/World Bank Special Programme of Research Development and … However, few studies have explored women’s understanding of ideal IPIs or investigated knowledge of the consequences of short IPIs. 6, 7 However, methods that require regular refills such as oral contraceptives or contraceptive ring provide, on average, less coverage over a 12-month period,8 especially if women receive only a limited contraceptive supply per visit. The composite interpregnancy interval (expressed in months) of each group was compared and showed no significant difference (Table 1). Interpregnancy interval. The IPI can be regarded as a ‘modifiable’ risk factor because, with the provision of appropriate and effective contraception, Methods We performed a prospective questionnaire-based study at two hospitals in Sydney, Australia. We recruited women attending antenatal clinics and … The interpregnancy interval for each subject is expressed in months, and subsequently graphed with the mean and standard deviation noted (Figure 1). Despite extensive research on risk factors and mechanisms, the extent to which interpregnancy interval (IPI) affects hypertensive disorders of pregnancy in high‐income countries remains unclear. interpregnancy interval groups using percentages among multiparous women in Michigan who delivered a singleton live infant between 2008 and 2018. WHO recommends waiting at least 2 years after a live birth and 6 months after miscarriage or induced termination before conception of another pregnancy. After adjust-ing for pregnancy intention, detailed measures of socio-economic status, and other covariates, the estimated magnitude of effect between interpregnancy interval and vallum, a rampart, wall] Farlex Partner Medical Dictionary © … interpregnancy interval synonyms, interpregnancy interval pronunciation, interpregnancy interval translation, English dictionary definition of interpregnancy interval. Prevalence of adverse birth outcomes according to interpregnancy interval is presented by race and Hispanic origin for the 2002-2005 period. Introduction Short interpregnancy interval (IPI) has been linked to adverse pregnancy outcomes. Background Short interpregnancy intervals (IPIs) are associated with adverse obstetric outcomes. 9 Similarly, the effectiveness of barrier methods is … An interpregnancy interval of less than six months was associated with an increased risk (compared with an interpregnancy interval of 18-23 months) of spontaneous preterm birth, both 24-32 weeks (adjusted odds ratio 2.2, 95% confidence interval 1.2 to 4.1) and 33-36 weeks (1.6, 1.2 to 2.2). Interpregnancy interval was defined as the interval from live birth to subsequent start of an FET cycle resulting in a repeat live birth. We examined the association between IPI and SMM, using data linked across sequential pregnancies to women in California during 1997–2012. interpregnancy intervals are presented in four-year intervals and by race and Hispanic origin, age, and education of mother. Effective contraceptive method use after birth has the potential to achieve optimal interpregnancy intervals. Short interpregnancy interval: The conception of a live birth occurring less than 18 months from the preceding live birth ( 2 ). Short interpregnancy intervals were categorized as less than 6 months (i.e., 1–5 months), 6–11 months, and 12–17 months. The evidence underpinning these recommendations largely relies on data from low/middle-income countries. Interpregnancy interval was defined as the time elapsed between the woman's last delivery and the date of the last menstrual period for the index pregnancy. A short interpregnancy interval could be avoided by education and provision of postpartum contraception. Because this information is availableamong revised jurisdictions only, the national representativeness ofIPI and related patterns to the entire United States were assessedusing the … Interpregnancy interval (IPI) is the period of time between a live birth and conception of the next pregnancy. Becoming pregnant in order to avoid a long interpregnancy interval is more problematic since a desired pregnancy may be precluded by factors such as availability of a partner, subfertility, economic or occupational issues, or illness [ 1 ]. Women should be advised to avoid interpregnancy intervals (the time between birth and the start of the next pregnancy) shorter than six months and counseled about the risks and benefits of intervals shorter than 18 months. These represented the second and third live births recorded from each woman within our study time period and not necessarily each woman’s second and third live birth. We examined interpregnancy interval (0-5, 6-11, 12-17, 18-23 [reference], 24-59, and 60 months or greater) in relation to neonatal outcomes (preterm birth [less than 37 weeks of gestation], small-for-gestational-age birth [less than the 10th centile], use of neonatal intensive care, low birth weight [less than 2,500 g]) and maternal outcomes (gestational diabetes, beginning the subsequent pregnancy … Our findings challenge the "one size fits all" recommendation for an optimal IPI, and a more tailored approach to family planning counselling may be required to improve health. Interpregnancy interval was defined as the time between the end of pregnancy (delivery date) and the start of the next pregnancy (delivery date of next pregnancy minus gestational age at birth). When reviewing international recommendations for birth spacing, the World Health Organization identified four intervals: 1) “interpregnancy interval” indicates the time a woman is not pregnant between one live birth or pregnancy loss and the next pregnancy; 2) “birth-to-birth interval” is the time between a live birth and the subsequent live birth (this interval does not take into account any pregnancy losses in between births); 3) “interoutcome interval” … intervals were associated with highest and lowest risks. Define interpregnancy interval. The American College of Obstetricians and Gynecologists (ACOG) recommends that women be advised to avoid interpregnancy intervals shorter than six months and counseled about the risks and benefits of repeat pregnancy sooner than 18 months. The degree to which individual pregnancy spacing alters adverse pregnancy outcomes is unclear, but … Interpregnancy intervals less than 12 months were associated with increased risks for adverse maternal and fetal outcomes among women of all ages, according to … Methods: Using data from the National Survey of Family Growth, we estimated the percentages of pregnancies that were unintended among IPI groups (<6, 6-11, 12-17, 18-23, 24+ months) by maternal age at last live birth (15-19, 20-24, 25-29, 30-44 years). n. 1. Background. Background: The relationship between unintended pregnancy and interpregnancy interval (IPI) across maternal age is not clear. A time or space between two periods or objects; a break in continuity. Short interpregnancy interval was defined as conception after less than 18 months and long interpregnancy conception after more than 36 months. The number of months between a live birth and the conception of the next live birth. • Women should be advised to avoid interpregnancy intervals shorter than six months and counseled about the risks and benefits of intervals shorter than 18 months. Interpregnancy care is the care provided to women of childbearing age who are between pregnancies. Objective—To describe data on interpregnancy intervals (IPI),defined as the timing between a live birth and conception of asubsequent live birth, from a subset of jurisdictions that adopted the2003 revised birth certificate. A long interpregnancy interval of 60 months or more is not associated with an increase in major maternal morbidity. inter - pregnancy intervals shorter than 9 months comprised mostly intervals of 6‒8 months. Interpregnancy interval was defined as the number of months between the delivery date of the first neonate and the conception date of the subsequent pregnancy, which was estimated using the delivery date of the second neonate minus its gestational age at birth. Interpregnancy intervals were categorised as ≤5, 6-11, 12-17, 18-23, 24-59, and ≥60 months. Interpregnancy interval, the time between a birth and the next conception, represents a potentially modifi able feature of the prenatal environment. Interpregnancy intervals in Alaska. IPI was categorized as: <6, 6–11, 12–17, 18–23, and 24+ months. The study defined short interpregnancy interval (IPI) as time from the immediate preceding birth to subsequent birth of the index pregnancy of <6 months, 6 to <12 months, and 12 to <18 months. Most women who have had one previous cesarean delivery with a low transverse incision should be counseled about • Women should be advised to avoid interpregnancy intervals shorter than six months and counseled about the risks and benefits of intervals shorter than 18 months. , [L. intervallum, space between breastworks in a camp, an interval, fr. Birth-to-pregnancy inter-vals of around 18 months or shorter are associated with elevated risk of infant, neonatal and perinatal interpregnancy interval of 0–5 months, 22% after an interpregnancy interval of 12–17 months, and 32% after an interpregnancy interval of 24–59 months (Table 1). interpregnancy interval preceding for the second and third recorded births of each woman within our data set. Interpregnancy interval (IPI) was defined as the number of months between the woman's last live birth delivery month and the conception month of her next pregnancy, regardless of its outcome or whether it was a single or multi-fetal gestation. This was divided into 6 … Pregnancy spacing (ie, the time interval between one pregnancy and the next) is clinically relevant because it may increase the risk for some adverse pregnancy outcomes. For each racial group, the data was stratified according to levels of the risk factors and the prevalence of adverse perinatal outcomes in relation to the interpregnancy interval. Intervals were computed in weeks and then converted to months. For example, a woman may have given birth to her third, fourth, and 1-6 Based on these associations, clinical postpartum practice 7,8 and public health 9,10 guidelines recommend …
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