PERCEPTION AND AWARENESS ABOUT BIRTH INTERVAL IN A SAMPLE OF WOMEN ATTENDING OUTPATIENT CLINICS OF TEACHING HOSPITALS IN ERBIL CITY
Aziza Sdiq Rasul *and Tariq Al-Hadithi **
* Azadi Family Health Centre, Directorate of health of Erbil, Erbil-Iraq.
** Department of community medicine, College of Medicine, Hawler Medical University, Erbil-Iraq.
Submitted: 1/2/2013; Accepted: 1/8/2013; Published 1/6/2014
DOI Link: https://doi.org/10.17656/jsmc.10045
Background and Objectives
Adequate child-spacing is considered a positive factor for the health of mothers and their children. This study was done to assess perceptions of women about birth spacing and associated socio-demographic factors.
A cross-sectional study was done from April 2010 through April 2011 on 500 mothers aged 15–52 years attending outpatient clinics of teaching hospitals in Erbil city. All had given birth to at least 2 children within the last 10 years prior to the study. Data was collected using a questionnaire including socio-demographic information and perception about birth spacing.
Only 25.6% preferred a birth interval of < 3 years, while the rest favored ≥ 3 years. Adequate birth spacing preference was significantly associated with younger age at marriage. Nearly half were not aware of the mortality and morbidity risks associated with short interval.
Women’s perception and awareness in Erbil city about birth interval is comparable to that of neighbouring countries. Nearly half of the women lacked awareness of importance of adequate birth spacing.
Birth spacing, Perception and awareness, Iraq.
1- Miller JE, Trussell J, Pebley AR, Vaughan B. Birth spacing and child mortality in Bangladesh and the Philippines. Demography 1992; 29(2):305-18.
2- Setty-Venugopal V, Upadhyay UD.Birth spacing: three to five saves lives In:Robey B,editor. Population Reports,Series L, No.13. Baltimore: Johns Hopkins Bloomberg School of Public Health, Population Information Program; 2002. P. 1-23
3- Conde-Agudelo A, Belizan JM, Norton MH, Rosas-Bermudez A. Effect of the interpregnancy interval on perinatal outcomes in Latin America. Obstet Gynecol 2005; 106(2):359–66.
4- Roudbari M,Yaghmae M , Soheili M. Prevalence and risk factor of low birth weight infant in Zahidan, Islamic Republic of Iran. East Mediterr Health J 2007;13(4):838-45
5- Smith GC, Pell JP, Dobbie R. Inter-pregnancy interval and risk of pre-term birth and neonatal death: a retrospective cohort study. BMJ 2003; 327(7410):313–9
6- Norton M. New evidence on birth spacing: promising findings for improving newborn, infant, child, and maternal health. Int J Gynaecol Obstet 2005;89(Suppl 1):S1-6
7- Conde-Agudelo A, Belizan JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study. BMJ 2000;321(7271):1255–9.
8- Lang JM, Lieberman E, Ryan KJ, Monson RR. Interpregnancy interval and risk of preterm labor. Am J Epidemiol 1990;132(2):304–9.
9- Darwesh OA, Amine EK, Abdulla SM. Impact of socio-economic level on infant feeding pattern in Iraq. Food Nutr Bull [Internet] 1983;[cited 2011 Feb 18] 5(1) [about 4 pages] .Available from: http://www.dreenstone.org/Greenstones//nzdl.
10- Toukan AU, Sharaiha ZK, Abd-El-Rub OA, Hmond MK, Dahbour SS, Abi- Hassan H et a .The epidemiology of hepatitis B virus among family members in the Middle East. Am J Epidemiol 1990; 132(2):220-32.
11- Melki IS, Beydonn HA, Khogali M, Tamim H, Yunis KA.Household Crowding index: a correlate of socio-economic status and inter- pregnancy spacing in an urban setting. J pidemiol Community Health 2004;58 (6): 476-80.
12- Rutstein SO. Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. Int J
Gynaecol Obstet 2005; 89(Suppl.1):S7—24
13- Gyimah SO.The dynamics of spacing and timing of births in Ghana. London: Population studies Centre, University of Western Ontario; May 2002 [cited 2011 Feb 18 ] . [about 34 pages] [Available:<http://www.ssc.uwo.ca/sociology/popstudies/dp/dp02-02.pdf>]
14- Pathk KB, Pande A. Tempo of fertility in Orissa: A study based on birth intervals. Journal of Family Welfare1993; 39(4): 1-8.
15- Rahim A, Ram B. Emerging patterns of child spacing in Canada. J Biosoc Sci 1993;25(2): 155-67.
16- Oheneba-Sakyi Y,Heaton TB. Effects of socio-demographic variables on birth intervals in Ghana. Journal of Comparative Family Studies 1993;24(1):113-35.
17- Al-Nahedh NNA.The effect of socio-demographic variables on child-spacing in rural Saudi Arabia. East Mediterr Health J 1999;5(1):136–40.
18- Rasheed P,Al-Dabal BK.Birth interval: perceptions and practices among urban-based Saudi Arabian women. East Mediterr Health J 2007;13(4):881-92 .
19. Petro-Nustas W, Al-Qutob R. Jordanian men’s attitudes and views of birth spacing and contraceptive use (a qualitative approach)). Health Care Women Int 2002; 23(6– 7):516–29.
20- Balaiah D, Naik DD, Parida RC, Gule M, Hazari KT, Juneja HS.Contraceptive knowledge, attitude and practices of men in rural Maharashtra. Advances in Contraception 1999;15(3):217–34.
21- Moyes CD. Stature and birth rank: a study of school children in St Helena. Arch Dis Child 1981; 56(2):116–20.
22- Christiansen N, Mora JO, Herrera MG. Family characteristics related to physical growth of young children. British Journal of Preventive & Social medicine 1975; 29(2):121–30.
23- Bella H, Al-Almaie SM.The effect of birth interval on intellectual development of Saudi school children in Eastern Saudi Arabia. Saudi Med J 2005, 26(5):447–51.
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