Interpregnancy interval planning after caesarean section: A national survey

Area of Science:

• Reproductive Health
• Maternal Medicine
• Public Health

Background:

• Interpregnancy interval (IPI) is crucial for maternal and infant health outcomes.
• Caesarean birth is a significant factor influencing subsequent interpregnancy decisions.
• Understanding women's perspectives on IPI after caesarean birth is essential for improving care.

Purpose of the Study:

• To explore women's experiences and decision-making regarding interpregnancy interval following caesarean section.
• To identify factors influencing women's choices about subsequent pregnancies after caesarean birth.

Main Methods:

• A sequential mixed-methods approach using qualitative interviews and a national online survey.
• 332 women participated in the survey, with data analyzed using descriptive statistics and content analysis.

Main Results:

• Over half of women had an IPI of 18 months or more; 50.6% did not recognize risks for subsequent pregnancies after caesarean birth.
• Many women confused interpregnancy interval with interbirth interval (29.9%) or were unaware (25.3%).
• Trauma (psychological or physical) affected pregnancy planning for 54.4% of women, who predominantly sought information from online peer support and evidence-based resources.

Conclusions:

• Women are seeking information outside of maternity services, indicating a need for improved provider communication and support.
• Maternity services should integrate online support strategies and provide accessible, evidence-based information to address women's needs and trauma experiences.
• Improved understanding and support for interpregnancy intervals are vital for women who have had caesarean births.