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. 2021 Sep 6:40:17.
doi: 10.11604/pamj.2021.40.17.29770. eCollection 2021.

Short inter-pregnancy interval: why is it still high among women in Dar es Salaam?

Amani Idris Kikula  1 , Andrea Barnabas Pembe  1 , Bruno Sunguya  2
Affiliations

Short inter-pregnancy interval: why is it still high among women in Dar es Salaam?

Amani Idris Kikula et al. Pan Afr Med J. .

Abstract

Introduction: in Tanzania, for the past decade, there has been a rising trend of women with short inter-pregnancy interval (IPI) (16% to 19%). Short IPI is associated with poor maternal and neonatal outcomes. We aimed to determine the factors associated with short IPI among women attending antenatal clinic (ANC) at Mnazi Mmoja Hospital, Dar es Salaam, Tanzania.

Methods: a cross-sectional study was conducted in September 2018 at Mnazi Mmoja hospital among women receiving ante-natal care. A total of 530 women were included in the analysis. Analysis was conducted through SPSS version 24 computer program using descriptive analyses to determine the IPI and characteristics thereof, and logistic regression analysis to examine factors associated with IPI among pregnant women. Associations with a p-value < 0.05 were considered statistically significant.

Results: twenty-two percent of the women attending ANC in Mnazi Mmoja hospital had short IPI. Short IPI was associated with young (<25years) age (AOR=2.67, 95% CI=1.23-5.79); non-use of a contraceptive method (AOR=2.05, 95%CI=1.22-3.45); breastfeeding for less than 6 months (AOR=3.45, 95% CI=1.17-10.13) and having an antecedent dead child at the time of index conception (AOR=3.38, 95% CI=1.15-9.93).

Conclusion: about 1 in every 5 women attending ANC in Dar es Salaam had a short IPI. Addressing short IPI will complement the government´s efforts to improve maternal indicators in Tanzania and areas with similar contexts. Such efforts should emphasize in adherence to recommended infant feeding practices, women at a younger reproductive age group, those with a history of pregnancy loss, and strengthening contraception use among women of reproductive age.

Keywords: Pregnancy; contraception; maternal health; maternal mortality; pregnancy outcome.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. World Health Organization . Geneva: World Health Organization; 2007. Report of a WHO Technical Consultation on Birth Spacing.
    1. Lilungulu A, Matovelo D, Kihunrwa A, Gumodoka B. Spectrum of maternal and perinatal outcomes among parturient women with preceding short inter-pregnancy interval at Bugando Medical Centre, Tanzania. BMC, maternal Health, Neonatology and Perinatology. 2015;1:1. - PMC - PubMed
    1. Getahun D, Strickland D, Ananth CV, Fassett MJ, Sacks DA, Kirby RS, et al. Recurrence of preterm premature rupture of membranes in relation to interval between pregnancies. American Journal of Obstetrics and Gynecology. 2010;202(6):570e1–570e6. - PubMed
    1. Conde-Agudelo A, Belizán JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study. BMJ (Clinical research ed) 2000;321(7271):1255–9. - PMC - PubMed
    1. Shree R, Caughey AB, Chandrasekaran S. Short interpregnancy interval increases the risk of preterm premature rupture of membranes and early delivery. The Journal of Maternal-Fetal & Neonatal Medicine. 2018 Nov;31(22):3014–3020. - PMC - PubMed