Association of Short Interpregnancy Interval With Pregnancy Outcomes According to Maternal Age

IMPORTANCE: Interpregnancy intervals shorter than 18 months are associated with higher risks of adverse pregnancy outcomes. It is currently unknown whether short intervals are associated with increased risks among older women to the same extent as among younger women. OBJECTIVE: To evaluate whether...

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Veröffentlicht in:Archives of internal medicine (1960) 2018-12, Vol.178 (12), p.1661-1670
Hauptverfasser: Schummers, Laura, Hutcheon, Jennifer A, Hernandez-Diaz, Sonia, Williams, Paige L, Hacker, Michele R, VanderWeele, Tyler J, Norman, Wendy V
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Sprache:eng
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Zusammenfassung:IMPORTANCE: Interpregnancy intervals shorter than 18 months are associated with higher risks of adverse pregnancy outcomes. It is currently unknown whether short intervals are associated with increased risks among older women to the same extent as among younger women. OBJECTIVE: To evaluate whether the association between short interpregnancy (delivery to conception) interval and adverse pregnancy outcomes is modified by maternal age. DESIGN, SETTING, AND PARTICIPANTS: A population-based cohort study conducted in British Columbia, Canada, evaluated women with 2 or more singleton pregnancies from 2004 to 2014 with the first (index) pregnancy resulting in a live birth. Data analysis was performed from January 1 to July 20, 2018. MAIN OUTCOMES AND MEASURES: Risks of maternal mortality or severe morbidity (eg, mechanical ventilation, blood transfusion >3 U, intensive care unit admission, organ failure, death), small-for-gestational age (
ISSN:2168-6106
2168-6114
DOI:10.1001/jamainternmed.2018.4696