ArticleBJOG : an international journal of obstetrics and gynaecology2021
Associations between interpregnancy interval and preterm birth by previous preterm birth status in four high-income countries: a cohort study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Birth spacing and risk of adverse pregnancy and birth outcomes: A systematic review and dose-response meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2023Pooled it
- Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis.Frontiers in medicine · 2022Pooled it
- The probability of preterm or early term second live births in the southern U.S. State of Georgia, 2011-2020.BMC pregnancy and childbirth · 2025Article
- Non-linear association between interpregnancy interval after vaginal delivery and singleton preterm birth: a retrospective cohort study.BMC pregnancy and childbirth · 2025Article
- Association between interpregnancy interval and adverse perinatal outcomes according to maternal age in the context of China's two-child policy.BMC pregnancy and childbirth · 2025Article
- Association of interpregnancy interval with adverse pregnancy outcomes according to the outcomes of the preceding pregnancy: a longitudinal study with 4.7 million live births from Brazil.Lancet regional health. Americas · 2024Article
- Short Interpregnancy Interval Following a Multifetal Pregnancy: Maternal and Neonatal Outcomes.Journal of clinical medicine · 2023Article
- The association between the interdelivery interval and early postpartum urinary incontinence in women who had consecutive vaginal deliveries: a retrospective cohort study.Annals of translational medicine · 2023Article
- Interpregnancy interval and adverse pregnancy outcomes among pregnancies following miscarriages or induced abortions in Norway (2008-2016): A cohort study.PLoS medicine · 2022Article
- Interpregnancy interval and maternal and neonatal morbidity: a nationwide cohort study.Scientific reports · 2022Article
- A Scoping Review of Preterm Births in Sub-Saharan Africa: Burden, Risk Factors and Outcomes.International journal of environmental research and public health · 2022Article
- Interpregnancy intervals and adverse birth outcomes in high-income countries: An international cohort study.PloS one · 2021Article
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16 authors at 9 institutions in 7 countries.
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Abstract
objectiveTo investigate the effect of interpregnancy interval (IPI) on preterm birth (PTB) according to whether the previous birth was preterm or term.
designCohort study.
settingUSA (California), Australia, Finland, Norway (1980-2017). POPULATION: Women who gave birth to first and second (n = 3 213 855) singleton livebirths.
methodsOdds ratios (ORs) for PTB according to IPIs were modelled using logistic regression with prognostic score stratification for potential confounders. Within-site ORs were pooled by random effects meta-analysis. OUTCOME MEASURE: PTB (gestational age <37 weeks).
resultsAbsolute risk of PTB for each IPI was 3-6% after a previous term birth and 17-22% after previous PTB. ORs for PTB differed between previous term and preterm births in all countries (P-for-interaction ≤ 0.001). For women with a previous term birth, pooled ORs were increased for IPI <6 months (OR 1.50, 95% CI 1.43-1.58); 6-11 months (OR 1.10, 95% CI 1.04-1.16); 24-59 months (OR 1.16, 95% CI 1.13-1.18); and ≥ 60 months (OR 1.72, 95%CI 1.60-1.86), compared with 18-23 months. For previous PTB, ORs were increased for <6 months (OR 1.30, 95% CI 1.18-1.42) and ≥60 months (OR 1.29, 95% CI 1.17-1.42), but were less than ORs among women with a previous term birth (P < 0.05).
conclusionsAssociations between IPI and PTB are modified by whether or not the previous pregnancy was preterm. ORs for short and long IPIs were higher among women with a previous term birth than a previous PTB, which for short IPI is consistent with the maternal depletion hypothesis. Given the high risk of recurrence and assuming a causal association between IPI and PTB, IPI remains a potentially modifiable risk factor for women with previous PTB. TWEETABLE ABSTRACT: Short versus long interpregnancy intervals associated with higher ORs for preterm birth (PTB) after a previous PTB.
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