The prevalence of short inter-pregnancy interval and its associated risk factors among women attending primary health care centers of NGHA in Jeddah, Saudi Arabia: A cross-sectional study.

IF 1.1 Q4 PRIMARY HEALTH CARE
Rawan A Hemedy, Razaz M Wali, Fatemah A Alsulimani
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Abstract

Background: The inter-pregnancy interval (IPI) refers to the time between one pregnancy and the next. Studies have shown that IPIs shorter than 18 months are linked to negative outcomes, such as preterm delivery, infant mortality, and small-for-gestational-age birth. The aim of this study was to measure the prevalence and risk factors of short inter-pregnancy intervals among women receiving care at primary health centers in Jeddah, Saudi Arabia.

Methods and material: This is a cross-sectional study conducted at primary health care centers among mothers with a history of giving birth to at least one child and having two successive pregnancies. The data was collected through face-to-face interviews using a structured questionnaire. Statistical analysis was carried out using RStudio (R version 4.3.0).

Results: A total of 300 responses were analyzed. The prevalence of short IPI was 36.0%, 31.0% had prolonged IPI, and 33.0% had optimal IPI. Lower educational level, unemployment as a student, low or middle income, a rise in the number of children, typically more than six, and an increase in the number of male offspring, mostly four or more, lack of breastfeeding, and breastfeeding duration have all been identified as statistically significant risk factors for short IPIs.

Conclusions: Short inter-pregnancy interval is prevalent in Jeddah city, which can negatively impact the perinatal outcomes. Addressing the risk factors and providing proper education in antenatal and postnatal clinics to reduce the number of unintended pregnancies can help in decreasing the number of short inter-pregnancy intervals and improving maternal and fetal outcomes.

在沙特阿拉伯吉达 NGHA 初级卫生保健中心就诊的妇女中,孕间隔期短的发生率及其相关风险因素:一项横断面研究。
背景:孕间隔(IPI)是指一次怀孕与下一次怀孕之间的时间间隔。研究表明,IPI 短于 18 个月与早产、婴儿死亡和小于胎龄儿出生等不良后果有关。本研究的目的是测量在沙特阿拉伯吉达市初级保健中心接受治疗的妇女中孕间期过短的发生率和风险因素:这是一项在初级保健中心进行的横断面研究,研究对象是至少生育过一个孩子并连续两次怀孕的母亲。数据是通过结构化问卷进行面对面访谈收集的。统计分析使用 RStudio(R 版本 4.3.0)进行:共分析了 300 份答复。短期 IPI 的发生率为 36.0%,长期 IPI 的发生率为 31.0%,最佳 IPI 的发生率为 33.0%。教育水平较低、学生失业、中低收入、孩子数量增加(通常超过 6 个)、男性后代数量增加(大多为 4 个或以上)、缺乏母乳喂养以及母乳喂养持续时间都被认为是导致 IPI 短的具有统计学意义的风险因素:吉达市普遍存在孕间隔短的现象,这会对围产期结果产生负面影响。在产前和产后诊所解决风险因素并提供适当的教育以减少意外怀孕的数量,有助于减少孕间隔短的数量并改善孕产妇和胎儿的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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