Interpregnancy Interval and Perinatal Outcome

Description

Abstract (English)

Abstract
Aims: To study the impact of inter pregnancy interval on perinatal outcome.
Materials and Methods: In the Prospective observational study 100 antenatal women who were second gravida
whose previous pregnancy ended in a live birth at term were studied in accordance to varying inter pregnancy
intervals whose maternal and perinatal outcomes were observed.
Results: Severe anaemia was seen more in short interpregnancy interval.26.6% cases in short interpregnancy
interval had severe anaemia. Overt diabetes mellitus (6.6%) was seen in long interpregnancy interval. GDM is
not statistically associated with any of the interval groups. In this study, majority of Preterm, very and extremely
preterm deliveries were in short interpregnancy interval is significant. Most of the cases in all intervals delivered
vaginally. In long interpregnancy intervals 30% delivered by LSCS.IUD and Still births were 6.6% and 6.6% in
short and long interpregnancy interval respectively. There was low APGAR babies seen in both short(6.6%) and
long(6.6%) interpregnancy interval. 13.3%, 17.5%, 10% moderately low APGAR seen in short, normal and long
interpregnancy intervals respectively. 36.6% and 20% women delivered low birth weight and very low birth
weights respectively in short interpregnancy interval group, 30% LBW and 10% VLBW in long interpregnancy
interval. There was one congenital anomaly in long interpregnancy interval which was meningomyelocele.
36.6% NICU admissions were in short interpregnancy interval and 30% NICU admissions in long
interpregnancy interval. 10% and 13.3% neonatal deaths were there in short and long interpregnancy intervals
respectively.
Conclusions: The risks for maternal and perinatal morbidity associated with short inter pregnancy intervals
underscore the importance of birth spacing to promote safe motherhood and achieve better pregnancy outcomes.