Short interdelivery interval in modern obstetrics: Maternal and neonatal outcomes.

IF 1 Q4 OBSTETRICS & GYNECOLOGY Turkish Journal of Obstetrics and Gynecology Pub Date : 2022-12-13 DOI:10.4274/tjod.galenos.2022.50576
Metehan İmamoğlu, Deniz Şimşek, Burcu Dinçgez, Seda Ünal, Ahmet Demirci, Olcay İlhan, Ayşegül Gizem İmamoğlu, Gökay Özçeltik
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Abstract

Objective: To investigate the maternal, neonatal outcomes of the patients with short interdelivery interval (IDI) considering initial pregnancy outcomes.

Materials and methods: Women with two consecutive deliveries between 2016 and 2020 were included in the study. The maternal and neonatal outcomes of both pregnancies were reviewed. The time interval between consecutive deliveries was calculated. The patients were divided into two groups in terms of IDI either less or more than 24 months.

Results: The number of patients with short IDI (≤24 months), and normal IDI was 1.915 and 1.370, respectively. About 15% of the women in both groups had at least one obstetric morbidity. The rates of uterine rupture, placenta previa, and peripartum hysterectomy were higher in women with short IDI. The number of patients with low birth weight, very low birth weight, and stillbirth was higher in the short IDI group.

Conclusion: Patients with short interpregnancy intervals should be considered high-risk pregnancy. Adequate contraceptive methods should be used to prevent unintended pregnancies.

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现代产科分娩间隔短:产妇和新生儿结局。
目的:探讨考虑初始妊娠结局的短分娩间隔(IDI)患者的母婴结局。材料和方法:2016年至2020年期间连续两次分娩的妇女纳入研究。回顾了两次妊娠的产妇和新生儿结局。计算连续分娩之间的时间间隔。将患者按IDI≤24个月或≥24个月分为两组。结果:短IDI(≤24个月)和正常IDI分别为1.915和1.370。两组中约15%的妇女至少有一种产科疾病。子宫破裂、前置胎盘和围产期子宫切除术的发生率在短IDI的妇女中较高。低出生体重、极低出生体重和死产的患者数量在短IDI组中较高。结论:妊娠期间隔短应考虑高危妊娠。应使用适当的避孕方法,以防止意外怀孕。
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