The IMPACT OF INTERPREGNANCY INTERVAL ON MATERNAL AND PERINATAL OUTCOMES IN A TERTIARY CARE HOSPITAL OF KHYBER PAKHTUNKHWA
Interpregnancy interval outcomes
Keywords:
Short Interpregnancy Interval, Gestational Diabetes, Gestational Hypertension, Caesarean Section, Vaginal Birth After Caesarean Section, Perinatal MortalityAbstract
BACKGROUND: A short inter-pregnancy interval is the time interval of less than or equal to eighteen months between the previous baby’s delivery and the next conception
OBJECTIVE: Aim was to determine the impact of SIPI on maternal and perinatal outcomes.
MATERIALS AND METHODS: This study, which included 150 pregnant women, was carried out as a prospective observational comparative study between December 2023 and May 2024. Two groups of expectant mothers who met the inclusion and exclusion criteria for the research were taken into consideration. These two groups of women's pregnancy outcomes as well as fetal and maternal problems were examined. The study comprised 75 pregnant women who were SIPI (with an interpregnancy interval of ≤18 months after a prior birth and ≤6 months after a previous abortion). Seventy Five pregnant women who were NIPI and had an Interpregnancy Interval of ≥19 months to ≤59 months were included in the research as controls.
RESULTS: The age group of 25–30 years old comprised the largest percentage of survey participants (47.3%). The research participants' average age was found to be 29±2.6 years old. Anaemia was present in a higher percentage of women with short IPI (60% versus 40%, p = 0.018),gestational hypertension (p value = 0.002, 22.5% versus 77.5%), Gestational diabetes(p value = 1.2). Obstetric cholestasis (71% versus 29%, p value = 0.005).Preterm delivery (p value = 0.33), premature rupture of membranes (p value = 0.54), admission in the neonatal intensive care unit (p value = 0.133), and post-natal complications (p value = 0.411) did not significantly correlate with interpregnancy interval.Caesarean section rates were higher in women with shorter interpregnancy(67% versus 33%, p value = 0.018),low birth weights (95% versus 5%, p value = 0.016).
CONCLUSION: Pregnant women with a short interpregnancy period of 18 months or less have significant morbidity and poor perinatal outcomes
