Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda.
Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda.
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DOI：
10.1186/s12884-022-04611-4
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发表时间：
2022-03-30
影响因子：
3.1
通讯作者：
Kanyesigye H
中科院分区：
文献类型：
--
作者：
Byamukama O;Migisha R;Kalyebara PK;Tibaijuka L;Lugobe HM;Ngonzi J;Ahabwe OM;Garcia KRM;Mugyenyi GR;Boatin AA;Muhumuza J;Ssalongo WGM;Kayondo M;Kanyesigye H
有剖腹产史的妇女，与短的生育间隔相关，有较高的风险发生不良的孕产妇和围产期结局。我们确定了在乌干达西南部姆巴拉拉地区转诊医院（MRRH）分娩的剖宫产妇女中短间隔的患病率及其相关因素。我们于2020年11月至2021年2月对MRRH的产后病房进行了横断面研究。我们通过连续抽样招募了既往有剖宫产史的妇女。我们通过访谈者管理的结构化问卷获得参与者的社会人口学和产科特征。我们将短出生间隔定义为两次连续分娩之间的间隔< 33个月。改良泊松回归用于确定与短出生间隔相关的因素。在入组的440名参与者中，大多数人在当前妊娠前（67.5%）使用了产后计划生育（PPFP），并且大多数妊娠（57.2%）是计划的。参与者的平均年龄为27.6 ± 5.0岁。在440名妇女中，147名妇女的生育间隔较短，患病率为33%（95%CI：29-38%）。在多变量分析中，未使用PPFP（校正患病率[aPR] = 2.24; 95%CI：1.57-3.20，P < 0.001），在先前分娩时分娩死产（aPR = 3.95; 95%CI：1.43-10.9，P = 0.008），计划外妊娠（aPR = 3.59，95%CI：2.35-5.49，P < 0.001），且母亲年龄小（< 20岁与20-34岁aPR = 0.25; 95%CI：0.10-0.64，P = 0.004），是与短间隔显著相关的因素。每三名剖腹产妇女中就有一名的生育间隔较短。与同龄人相比，在有死产史的妇女、未使用产后计划生育方法的妇女和计划外怀孕的妇女中，短间隔更常见。年轻母亲（< 20岁）与20岁或20岁以上的母亲相比，不太可能有短的生育间隔。鉴于本研究人群中短间隔生育的频率较高，应努力加强和扩大针对既往剖腹产妇女的生育间隔计划。
Women with previous cesarean deliveries, have a heightened risk of poor maternal and perinatal outcomes, associated with short interbirth intervals. We determined the prevalence of short interbirth interval, and associated factors, among women with antecedent cesarean deliveries who delivered at Mbarara Regional Referral Hospital (MRRH), in southwestern Uganda. We conducted a cross-sectional study on the postnatal ward of MRRH from November 2020 to February 2021. We enrolled women who had antecedent cesarean deliveries through consecutive sampling. We obtained participants’ socio-demographic and obstetric characteristics through interviewer-administered structured questionnaires. We defined short interbirth interval as an interval between two successive births of < 33 months. Modified Poisson regression was used to identify factors associated with short interbirth intervals. Of 440 participants enrolled, most had used postpartum family planning (PPFP) prior to the current pregnancy (67.5%), and most of the pregnancies (57.2%) were planned. The mean age of the participants was 27.6 ± 5.0 years. Of the 440 women, 147 had a short interbirth interval, for a prevalence of 33% (95%CI: 29–38%). In multivariable analysis, non-use of PPFP (adjusted prevalence ratio [aPR] = 2.24; 95%CI: 1.57–3.20, P < 0.001), delivery of a still birth at an antecedent delivery (aPR = 3.95; 95%CI: 1.43–10.9, P = 0.008), unplanned pregnancy (aPR = 3.59; 95%CI: 2.35–5.49, P < 0.001), and young maternal age (aPR = 0.25 for < 20 years vs 20–34 years; 95%CI: 0.10–0.64, P = 0.004), were the factors significantly associated with short interbirth interval. One out of every three womenwith antecedent caesarean delivery had a short interbirth interval. Short interbirth intervals were more common among women with history of still births, those who did not use postpartum family planning methods, and those whose pregnancies were unplanned, compared to their counterparts. Young mothers (< 20 years) were less likely to have short interbirth intervals compared to those who were 20 years or older. Efforts should be made to strengthen and scale up child-spacing programs targeting women with previous cesarean deliveries, given the high frequency of short interbirth intervals in this study population.
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影响因子：
2.9
作者：
Muhumuza J;Migisha R;Ngonzi J;Kayondo M;Mugyenyi G
通讯作者：
Mugyenyi G
影响因子：
3.7
作者：
Amongin, Dinah;Nakimuli, Annettee;Benova, Lenka
通讯作者：
Benova, Lenka
影响因子：
3.1
作者：
Byamukama O;Migisha R;Kalyebara PK;Tibaijuka L;Lugobe HM;Ngonzi J;Ahabwe OM;Garcia KRM;Mugyenyi GR;Boatin AA;Muhumuza J;Ssalongo WGM;Kayondo M;Kanyesigye H
通讯作者：
Kanyesigye H
影响因子：
7.2
作者：
Gemmill, Alison;Lindberg, Laura Duberstein
通讯作者：
Lindberg, Laura Duberstein
影响因子：
3.1
作者：
Breckenkamp, Juergen;Laecke, Eileen Marie;Razum, Oliver
通讯作者：
Razum, Oliver