Association between the Length of Interpregnancy Interval and Pregnancy Outcomes in Women with One Previous Caeserian Section Undergoing a Repeat Caeserian Delivery at Term at Pumwani Maternity Hospital between 2014 and 2018 a Cross-Sectional Study

• 作者: Auma Adipo Diana Ondieki Omondi Ogutu Anne Pulei
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: Interpregnancy interval Caesarean Sections Pumwani Maternity Hospital
• 年，卷（期）: 2021,（2）
• 页码范围: 80-87
• 页数: 8页
• 分类号: R73

摘要

Caesarean sections constitute major surgery, and are associated with immediate maternal and perinatal risks with implications on future pregnancies. After a caesarean delivery, the World Health Organization (WHO) recommends an Inter-pregnancy Interval (IPI) of at least 24 months to lower the risk of adverse maternal and perinatal outcomes in the subsequent pregnancy. However, whether the recommendation confers obstetric benefits is unclear as there’s paucity of data in low- and medium-income countries (LMIC). The objective was to determine the association between IPI length and maternal and neonatal outcomes in women with one previous caesarian section undergoing a repeat caesarian delivery at term in Pumwani Maternity Hospital between 1</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> January 2014 and 31</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> December 2018. A cross-sectional study was done where patients who had delivered via repeat caesarean section at term between 1</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> January 2014 and 31</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> December 2018 were evaluated. The files of 625 patients were retrieved and IPI </span></span><span style="font-family:Verdana;">was </span><span style="font-family:Verdana;">determined from the time interval between a previous caesarean section delivery and the beginning of the subsequent pregnancy, established from the date of the last normal menstrual period as recorded or extrapolated from an early trimester obstetric scan. The files were allotted to study groups as follows: <24 months/short IPI (n</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">170), 24</span><span style="font-family:""> </span><span style="font-family:Ver