ArticleBMC pregnancy and childbirth2022
Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Patterns and determinants of short and long interpregnancy intervals among pregnant women in Ethiopia: a population-based cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Impact of a surgical sponsorship program on compliance with decision-to-delivery intervals in rural hospitals in Uganda.BMC pregnancy and childbirth · 2026Article
- Prevalence and factors associated with small for gestational age births among women delivering at a tertiary hospital in South-Western Uganda: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Maternal sociodemographic characteristics of short and long interpregnancy intervals in Japan: an analysis using national birth data.BMC public health · 2025Article
- Prevalence of short inter-birth intervals and associated factors among women of reproductive age: evidence from a nationally representative survey in Tanzania.BMC pregnancy and childbirth · 2025Article
- Inter-pregnancy interval and associated factors among parous women in neighboring low-land ecologies of arsi & east shoa zone, southeast Ethiopia: a community-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Association Between Short Birth Interval and Immediate Adverse Perinatal Outcomes Among Women Delivering at a Tertiary Hospital in South-Western Uganda.International journal of women's health · 2025Article
- Maternal factors associated with early-onset neonatal sepsis among caesarean-delivered babies at Mbarara Regional Referral Hospital, Uganda: a case-control study.BMC pregnancy and childbirth · 2024Article
- Early contraceptive implant removal and associated factors among women attending public family planning clinics, Mbarara City, Southwestern Uganda: a cross-sectional study.Contraception and reproductive medicine · 2024Article
- Prevalence and determinants of termination of pregnancy among reproductive-age women who had a short preceding birth interval in Sub-Saharan Africa: a multilevel analysis.Frontiers in global women's health · 2024Article
- The epidemiology and risk factors for postnatal complications among postpartum women and newborns in southwestern Uganda: A prospective cohort study.PLOS global public health · 2024Article
- Determinants of short birth interval among child-bearing age women in the Gedeb Hasasa district of the West Arsi zone, Ethiopia.Frontiers in medicine · 2023Article
- Prevalence and associated factors of oligohydramnios in pregnancies beyond 36 weeks of gestation at a tertiary hospital in southwestern Uganda.BMC pregnancy and childbirth · 2022Article
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Abstract
backgroundWomen with previous cesarean deliveries, have a heightened risk of poor maternal and perinatal outcomes, associated with short interbirth intervals. We determined the prevalence of short interbirth interval, and associated factors, among women with antecedent cesarean deliveries who delivered at Mbarara Regional Referral Hospital (MRRH), in southwestern Uganda.
methodsWe conducted a cross-sectional study on the postnatal ward of MRRH from November 2020 to February 2021. We enrolled women who had antecedent cesarean deliveries through consecutive sampling. We obtained participants' socio-demographic and obstetric characteristics through interviewer-administered structured questionnaires. We defined short interbirth interval as an interval between two successive births of < 33 months. Modified Poisson regression was used to identify factors associated with short interbirth intervals.
resultsOf 440 participants enrolled, most had used postpartum family planning (PPFP) prior to the current pregnancy (67.5%), and most of the pregnancies (57.2%) were planned. The mean age of the participants was 27.6 ± 5.0 years. Of the 440 women, 147 had a short interbirth interval, for a prevalence of 33% (95%CI: 29-38%). In multivariable analysis, non-use of PPFP (adjusted prevalence ratio [aPR] = 2.24; 95%CI: 1.57-3.20, P < 0.001), delivery of a still birth at an antecedent delivery (aPR = 3.95; 95%CI: 1.43-10.9, P = 0.008), unplanned pregnancy (aPR = 3.59; 95%CI: 2.35-5.49, P < 0.001), and young maternal age (aPR = 0.25 for < 20 years vs 20-34 years; 95%CI: 0.10-0.64, P = 0.004), were the factors significantly associated with short interbirth interval.
conclusionOne out of every three womenwith antecedent caesarean delivery had a short interbirth interval. Short interbirth intervals were more common among women with history of still births, those who did not use postpartum family planning methods, and those whose pregnancies were unplanned, compared to their counterparts. Young mothers (< 20 years) were less likely to have short interbirth intervals compared to those who were 20 years or older. Efforts should be made to strengthen and scale up child-spacing programs targeting women with previous cesarean deliveries, given the high frequency of short interbirth intervals in this study population.
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