Evidence map›Paper›PMID 41018135›Full record

ArticleInternational journal of women's health2025

Association Between Short Birth Interval and Immediate Adverse Perinatal Outcomes Among Women Delivering at a Tertiary Hospital in South-Western Uganda.

Yel Akol Akol Yel, Hamson Kanyesigye, Paul Kalyebara Kato, Leevan Tibaijuka, Gideon Akandwanaho, Stuart Turanzomwe, Rebecca Agness Akello, Joseph Ngonzi, Musa Kayondo, Onesmus Byamukama

Abstract read
In one paragraph

Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Yel Akol Akol YelDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Hamson Kanyesigye *Department of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.ORCID 0000-0002-6672-6301
Paul Kalyebara KatoDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Leevan TibaijukaDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.ORCID 0000-0002-2572-4051
Gideon AkandwanahoDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Stuart TuranzomweDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.ORCID 0000-0001-8768-9733
Rebecca Agness AkelloDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Joseph NgonziDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Musa KayondoDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Onesmus Byamukama *Department of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.ORCID 0009-0006-1910-9761

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Immediate adverse perinatal outcomes (IAPO) are more likely to occur in women with short inter-birth birth intervals (SIBI) compared to optimal inter-birth interval (OIBI). This study determined the association between short inter-birth interval and immediate adverse perinatal outcomes among women delivering at Mbarara Regional Referral Hospital (MRRH). Patients and Methods: We conducted a cross-sectional study among mother-baby pairs admitted to MRRH postnatal ward within 24 hours after delivery from the period running from March 2023 to June 2023. The primary exposure variable was birth interval and the primary outcome was IAPO. Data was collected using a structured questionnaire. Modified Poisson Regression analysis was used to determine the relationship between birth interval and immediate adverse perinatal outcomes. Results: Of the 688 participants enrolled, the mean age was 28.06 ±5.04 years. Majority were married (97.8%) and referred to in (44.6%). Low birth weight was significantly higher among women with SIBI compared to OIBI ((9.9% versus 5.8%, p=0.047), while other adverse outcomes (preterm birth, stillbirth, and NICU admissions) were more frequent but not statistically significant. A SIBI was significantly associated with IAPO (aPR): 1.46; 95% C. I [1.02, 2.09], p=0.038). Other factors independently associated with adverse perinatal outcomes were maternal age<20 years ([aPR]: 2.66; 95% C.I [1.05,6.73], p=0.039), obstetric complications (aPR: 2.16; 95% C.I [1.34, 3.48], p=0.002), having a diagnosis of fetal distress (aPR: 2.61; 95% C.I [1.80, 3.79], p<0.001), and a history of malaria in pregnancy (aPR: 1.66; 95% C.I [1.12, 2.48], p=0.013). Conclusion: A SIBI significantly increases the risk of IAPO. Additionally, maternal age below 20 years, the presence of obstetric complications, a diagnosis of fetal distress, and a history of malaria in pregnancy independently contribute to these unfavorable outcomes. We recommend health education and advocacy with emphasis for the utilization of family planning services so as to have OIBI.

Indexed as

adverse perinatal outcomesbirth intervalsUganda

Identifiers

PMID41018135
PMCPMC12476201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.