Lubna Latif, Usman Javed Iqbal.
Fetomaternal Outcomes ofShortInterpregnancy Interval.
Pak J Med Health Sci Jan ;13(2):424-6.

Aim: To see the feto-maternal outcomes of short inter-pregnancy interval. Methodology: A cross sectional comparative study was conducted at Obstetrics and Gynecology Department of Gulab Devi Hospital, Lahore. A total of 200 female subjects (100 who had IPI <18 months and 100 who had IPI of> 18 months) were enrolled. After taking informed consent a detailed obstetric history, her number of previous pregnancies, date of last child born and last menstrual period (LMP) was taken. Estimated date of delivery (EDD) and duration of pregnancy was calculated. If the LMP was not sure then duration of pregnancy was calculated by the 1st trimester or earliest USG. IPI was calculated. Clinical examination and base line investigations were done to find out different feto-maternal parameters (maternal anemia, fetal height, lie of fetus, fetal heart rate). Results: Frequency of various maternal outcomes were note as anemia in 140 (70%), Preterm labour 27(13.5%), placental abruption 5(2.5%), pre-eclampsia 4(2%). Frequency of various fetal outcomes was also noted in terms of pre-term birth (10.5%) , IUGR (5%), LBW (26%) and nursery admission (13%). There was significant association of maternal anemia with short inter pregnancy interval. Conclusion: Woman should use contraceptive methods to give adequate space between two pregnancies. Maternal anemia is significantly associated with short IPI which can be prevented by practicing an appropriate IPI. Short IPI is associated with increased risk of maternal and fetal complications. During antenatal and postpartum periods the female must be counseled regarding effects of short IPI.

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