Evidence map›Paper›PMID 30353935›Full record

SynthesisPaediatric and perinatal epidemiology2019

Short interpregnancy intervals and adverse perinatal outcomes in high-resource settings: An updated systematic review.

Katherine A Ahrens, Heidi Nelson, Reva L Stidd, Susan Moskosky, Jennifer A Hutcheon

Abstract readSystematic Review
In one paragraph

Synthesis in Paediatric and perinatal epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Understanding of Lactational Amenorrhea As a Contraceptive Method Among U.S. Pregnant Women.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023
    Trial
  9. Induction of labor with Foley catheter and risk of subsequent preterm birth: follow-up study of two randomized controlled trials (PROBAAT-1 and -2).Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2021
    Trial
  10. Article
  11. Article
  12. Article
  13. Incidence and risk factors for postplacental intrauterine device expulsion in a Brazilian hospital.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Katherine A AhrensOffice of Population Affairs, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Rockville, Maryland.ORCID 0000-0001-5139-9208
Heidi NelsonDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
Reva L StiddAtlas Research LLC, Washington, District of Columbia.
Susan MoskoskyOffice of Population Affairs, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Rockville, Maryland.
Jennifer A HutcheonDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0003-0502-3423

Funding

Office of Population Affairs and Atlas Research LLC HHSP233201450040A
6 · The paper itself

Abstract

backgroundThis systematic review summarises association between short interpregnancy intervals and adverse perinatal health outcomes in high-resource settings to inform recommendations for healthy birth spacing for the United States.

methodsFive databases and a previous systematic review were searched for relevant articles published between 1966 and 1 May 2017. We included studies meeting the following criteria: (a) reporting of perinatal health outcomes after a short interpregnancy interval since last livebirth; (b) conducted within a high-resource setting; and (c) estimates were adjusted for maternal age and at least one socio-economic factor.

resultsNine good-quality and 18 fair-quality studies were identified. Interpregnancy intervals <6 months were associated with a clinically and statistically significant increased risk of adverse outcomes in studies of preterm birth (eg, aOR ≥ 1.20 in 10 of 14 studies); spontaneous preterm birth (eg, aOR ≥ 1.20 in one of two studies); small-for-gestational age (eg, aOR ≥ 1.20 in 5 of 11 studies); and infant mortality (eg, aOR ≥ 1.20 in four of four studies), while four studies of perinatal death showed no association. Interpregnancy intervals of 6-11 and 12-17 months generally had smaller point estimates and confidence intervals that included the null. Most studies were population-based and few included adjustment for detailed measures of key confounders.

conclusionsIn high-resource settings, there is some evidence showing interpregnancy intervals <6 months since last livebirth are associated with increased risks for preterm birth, small-for-gestational age and infant death; however, results were inconsistent. Additional research controlling for confounding would further inform recommendations for healthy birth spacing for the United States.

Indexed as

Birth IntervalsPregnancy OutcomeFemaleHumansMaternal AgePregnancySocioeconomic FactorsUnited Statesbirth spacingbirth-to-conception intervalinterpregnancy intervalperinatalpretermreview

Identifiers

PMID30353935
PMCPMC7379643

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.