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[Risk factors and perinatal consequences of short interpregnancy interval: a retrospective case-control study]
L Vandenbroucke1, V Lavoué, M-C Voltzenlogel
1Service d'obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France. laurent.vandenbroucke@yahoo.fr
Short interpregnancy intervals, less than 9 months, are linked to unemployment and lack of postpartum contraception. This increases risks for maternal anemia and neonatal complications like low birth weight and hypothermia.
Area of Science:
- Reproductive Health
- Maternal-Fetal Medicine
- Perinatal Outcomes
Background:
- Short interpregnancy intervals (IPI) are associated with adverse maternal and neonatal outcomes.
- Understanding specific risk factors and complications is crucial for targeted interventions.
Purpose of the Study:
- To investigate maternal risk factors associated with short interpregnancy intervals (less than 9 months).
- To identify perinatal complications linked to short interpregnancy intervals.
Main Methods:
- Retrospective case-control study conducted from 2007 to 2009.
- Comparison of 83 women with short IPI (<9 months) against 166 controls (18-24 months IPI).
Main Results:
- Unemployment (OR=3.2) and lack of postpartum contraception (OR=3.4) were significant risk factors for short IPI.
- Short IPI correlated with increased maternal anemia (pregnancy OR=4.9, postpartum OR=2.1).
- Neonatal risks included small for gestational age (OR=2.4) and thermoregulation disorders (OR=3.1).
Conclusions:
- Low socioeconomic status is a key risk factor for short interpregnancy intervals.
- Short IPI poses risks for maternal iron deficiency and neonatal complications such as low birth weight and hypothermia.
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