Speciality
Spotlight

 




   


Perinatology


    

 




Puerperium

  

  • Effect
    of the Interval between Pregnancies on Perinatal
    Outcomes.


       

    Zhu
    B-P, Rolfs RT, Nangle BE, et al (Ctrs for Dosease
    Control and Prevention, Atlanta, Ga; Utah Department
    of health, Salt Lake City

    N
    Engl J Med 340:589-594, 1999

     

    It
    is found that study from both 
    short and long intervals between pregnancies
    increase the risk of low birth weight, preterm
    birth, and small for gestational age infants. 
    The risk is lowest for infants conceived 18
    to 23 months after the live birth.

      

    Editorial
    Comments : Says that short intervals are associated with young maternal age,
    prior perinatal death (for obvious reasons), missed
    postpartum visits, educational deficiency, nonwhite
    race, unwed status, and smoking.
    The longer interpregnancy intervals are
    associated with unplanned pregnancy, secondary
    infertility, and unreported pregnancies.
    Each of these factors is associated in turn
    with increased risk of adverse pregnancy outcome. 
    Finally, when logistic regression was used to
    adjust to all 16 such independent variables, suggest
    that either significant variables not considered or
    that the pattern is in part inherent in our species.
    Clearly, interpregnancy intervals of less
    than 6 months duration confer risks associated with
    depleted nutrient storage, excessive body weight,
    and the economic, social, and psychological stresses
    associated with parentage. 
    What emerges is that the postpartum visit is
    an appropriate time for urging the
    perupera to delay a second pregnancy for at least
    11/2 to 2 years and to explain some of the
    associated factors likely to be at work.

       

 



 

 

Speciality Spotlight

 

   
Perinatology
    

 

Puerperium
  

  • Effect of the Interval between Pregnancies on Perinatal Outcomes.
       
    Zhu B-P, Rolfs RT, Nangle BE, et al (Ctrs for Dosease Control and Prevention, Atlanta, Ga; Utah Department of health, Salt Lake City
    N Engl J Med 340:589-594, 1999
     
    It is found that study from both  short and long intervals between pregnancies increase the risk of low birth weight, preterm birth, and small for gestational age infants.  The risk is lowest for infants conceived 18 to 23 months after the live birth.
      
    Editorial Comments : Says that short intervals are associated with young maternal age, prior perinatal death (for obvious reasons), missed postpartum visits, educational deficiency, nonwhite race, unwed status, and smoking. The longer interpregnancy intervals are associated with unplanned pregnancy, secondary infertility, and unreported pregnancies. Each of these factors is associated in turn with increased risk of adverse pregnancy outcome.  Finally, when logistic regression was used to adjust to all 16 such independent variables, suggest that either significant variables not considered or that the pattern is in part inherent in our species. Clearly, interpregnancy intervals of less than 6 months duration confer risks associated with depleted nutrient storage, excessive body weight, and the economic, social, and psychological stresses associated with parentage.  What emerges is that the postpartum visit is an appropriate time for urging the perupera to delay a second pregnancy for at least 11/2 to 2 years and to explain some of the associated factors likely to be at work.
       

 

 

By |2022-07-20T16:43:42+00:00July 20, 2022|Uncategorized|Comments Off on Puerperium

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