Short birth/pregnancy interval and its association with adverse maternal outcomes in Asia Pacific region: A systematic review and meta-analysis

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2025-02-17 DOI:10.1016/j.midw.2025.104342

Tesfaye Regassa Feyissa , Catherine Chojenta , Tahir Ahmed Hassen , Tesfalidet Beyene , Md Nuruzzaman Khan , Tanmay Bagade , Melissa L. Harris

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Abstract

Background

Short interpregnancy/birth interval (SIBI) may be associated with greater risks of adverse pregnancy outcomes. This study aimed to synthesise the literature on the association between SIBI and adverse maternal outcomes in Asia-Pacific.

Methods

Five databases were searched for studies published between 2000 and 2023. Studies were eligible if they reported an association between SIBI and adverse maternal outcomes (e.g., anaemia). Studies that met the WHO's definition of SIBI were included in the meta-analysis. The key findings were then summarised through qualitative synthesis and meta-analyses.

Results

26 articles that examined the association between SIBI and adverse maternal outcomes and were included in the narrative synthesis. Eight studies examined anaemia, two examined antenatal or postnatal depression, three assessed gestational diabetes mellitus, and four studies examined preeclampsia. A significant association between SIBI and anaemia was reported, indicating an 181 % increase in anaemia with a SIBI (OR of 2.81;95 % CI: 1.30–4.31) compared to an optimal birth interval. There was a significant association between SIBI and gestational diabetes mellitus (OR of 0.68; 95 % CI: 0.65–0.71), antenatal or postnatal depression (OR of 2.36; 95 % CI: 1.76, 3.01) but no significant associations were found for preeclampsia (OR of 0.74; 95 % CI: 0.48–1.01).

Conclusion

Our review highlights that SIBI places women at an increased risk of adverse maternal outcomes compared to optimal birth interval. This indicates the importance of addressing short birth interval through effective contraception as a key maternal health intervention to reduce adverse maternal outcomes.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.