THE EFFECT OF A VERY SHORT INTERPREGNANCY INTERVAL AND PREGNANCY OUTCOMES FOLLOWING A PREVIOUS PREGNANCY LOSS


Renas Jamal Rahman a, and Chro Najmaddin Fattah b




 Sulaimani Maternity Teaching Hospital, Ministry of Health, Kurdistan Region, Iraq.
b Department of Gynecology and Obstetrics, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.



Submitted: 5/6/2021; Accepted: 24/11/2021; Published: 21/3/2022


ABSTRACT 


Background 

Interpregnancy interval is a modifiable risk factor for adverse outcomes in infants and their mothers. The World Health Organization proposed that women wait a minimum of twenty-four months following a live birth and six months following a miscarriage before conceiving again.


Objectives 

The aim is to assess the outcome of pregnancy and complications correlated with an interpregnancy interval following a prior pregnancy loss.


Patients and Methods

This is a prospective comparative study that includes 100 patients in a maternity teaching hospital in Sulaymaniyah - Iraq, between April 2020 to March 2021, divided into two groups of 50 patients each, as groups A and B. One group has an interpregnancy interval <3 months and the other group has interpregnancy interval ≥ 3 months.

This study included women whose final reproductive outcomes were a pregnancy loss and afterwards became pregnant.

The study outcome included the outcome of the pregnancy, whether delivered by caesarian section or vaginal delivery, the outcome of the baby including birth weight and APGAR score in 1 minute and 10 minutes, and whether admitted to the Neonatal Care Unit or not. The outcome also included the pregnancy complications such as pregnancy loss, type of the pregnancy loss, and complications of the pregnancy (pre-eclampsia, gestational diabetes, and preterm birth <37weeks).


Results

The pregnancy outcomes turned out as 76 cases of live births, and 24 cases of miscarriage. From live births, 58 cases were delivered vaginally, and 18 cases were delivered by caesarean section. 


Conclusion

This study showed that conception within 12 weeks of prior miscarriage, was not related to an increased liability of poor pregnancy outcomes.



KEYWORDS

Pregnancy interval, Pregnancy loss.