Effect of the interpregnancy interval after an abortion on maternal and perinatal health in Latin America
Effect of the interpregnancy interval after an abortion on maternal and perinatal health in Latin America
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DOI：
10.1016/j.ijgo.2004.08.003
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发表时间：
2005-04-01
影响因子：
3.8
通讯作者：
Rosas-Bermudez, A
中科院分区：
文献类型：
--
作者：
Conde-Agudelo, A;Belizán, JM;Rosas-Bermudez, A
目的：调查拉丁美洲流产和下一次怀孕之间的间隔时间是否与不良孕产妇和围产期结局风险增加有关。方法：回顾性横断面研究，使用1985年至2002年乌拉圭蒙得维的亚拉丁美洲围产期学和人类发展中心围产期信息系统数据库中记录的258 108名分娩单胎婴儿且既往妊娠导致流产的妇女的信息。通过logistic回归分析获得调整后的比值比。测试结果：与流产后18~23个月的解释间隔相比，间隔时间短于6个月与母体贫血、胎膜早破、低出生体重、极低出生体重、早产和极早产的风险增加显著相关。结论：在拉丁美洲，人工流产后解释间隔时间短于6个月与下一次妊娠中不良孕产妇和围产期结局的风险增加独立相关。定义：流产后解释间隔（PAII）：从流产之日到首次妊娠末次月经第一天之间的时间。(c)2004年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To investigate whether the length of the interval between an abortion and the next pregnancy is associated with increased risks of adverse maternal and perinatal outcomes in Latin America. Method: Retrospective cross-sectional study using information from 258,108 women delivering singleton infants and whose previous pregnancy resulted in abortion recorded in the Perinatal Information System database of the Latin American Centre for Perinatology and Human Development, Montevideo, Uruguay, between 1985 and 2002. Adjusted odds ratios were obtained through logistic regression analysis. Result: Compared with the post-abortion interpregnancy intervals of 18 to 23 months, intervals shorter than 6 months were significantly associated with increased risks of maternal anemia, premature rupture of membranes, low birth weight, very low birth weight, preterm delivery, and very preterm delivery. Conclusion: In Latin America, post-abortion interpregnancy intervals shorter than 6 months are independently associated with increased risks of adverse maternal and perinatal outcomes in the next pregnancy. Definition: Post-abortion interpregnancy interval (PAII): the time elapsed between the day of the abortion and the first day of the last menstrual period for the index pregnancy. (c) 2004 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.