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. 2021;191(14):2281-2292.
doi: 10.1080/03004430.2019.1703111. Epub 2019 Dec 14.

Risk factors and child outcomes associated with short and long interpregnancy intervals

Ayesha C Sujan  1   2 , Quetzal A Class  3 , Martin E Rickert  1 , Carol Van Hulle  4 , Brian M D'Onofrio  1   5
Affiliations

Risk factors and child outcomes associated with short and long interpregnancy intervals

Ayesha C Sujan et al. Early Child Dev Care. 2021.

Abstract

Previous research assessing consequences of interpregnancy intervals (IPIs) on child development is mixed. Utilizing a population-based US sample (n=5,339), we first estimated the associations between background characteristics (e.g., sociodemographic and maternal characteristics) and short (≤ 1 year) and long (> 3 years) IPI. Then, we estimated associations between IPI and birth outcomes, infant temperament, cognitive ability, and externalizing symptoms. Several background characteristics, such as maternal age at childbearing and previous pregnancy loss, were associated with IPI, indicating research on the putative effects of IPI must account for background characteristics. After covariate adjustment, short IPI was associated with poorer fetal growth and long IPI was associated with lower infant activity level; however, associations between short and long IPI and the other outcomes were neither large nor statistically significant. These findings indicate that rather than intervening to modify IPI, at-risk families may benefit from interventions aimed at other modifiable risk factors.

Keywords: Interpregnancy interval; birth outcomes; birth spacing; childhood cognitive ability; childhood externalizing symptoms; infant temperament.

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Conflict of interest statement

All authors have no conflicts of interest.

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