PMID- 35354443 OWN - NLM STAT- MEDLINE DCOM- 20220401 LR - 20220716 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 22 IP - 1 DP - 2022 Mar 30 TI - Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda. PG - 268 LID - 10.1186/s12884-022-04611-4 [doi] LID - 268 AB - BACKGROUND: Women with previous cesarean deliveries, have a heightened risk of poor maternal and perinatal outcomes, associated with short interbirth intervals. We determined the prevalence of short interbirth interval, and associated factors, among women with antecedent cesarean deliveries who delivered at Mbarara Regional Referral Hospital (MRRH), in southwestern Uganda. METHODS: We conducted a cross-sectional study on the postnatal ward of MRRH from November 2020 to February 2021. We enrolled women who had antecedent cesarean deliveries through consecutive sampling. We obtained participants' socio-demographic and obstetric characteristics through interviewer-administered structured questionnaires. We defined short interbirth interval as an interval between two successive births of < 33 months. Modified Poisson regression was used to identify factors associated with short interbirth intervals. RESULTS: Of 440 participants enrolled, most had used postpartum family planning (PPFP) prior to the current pregnancy (67.5%), and most of the pregnancies (57.2%) were planned. The mean age of the participants was 27.6 +/- 5.0 years. Of the 440 women, 147 had a short interbirth interval, for a prevalence of 33% (95%CI: 29-38%). In multivariable analysis, non-use of PPFP (adjusted prevalence ratio [aPR] = 2.24; 95%CI: 1.57-3.20, P < 0.001), delivery of a still birth at an antecedent delivery (aPR = 3.95; 95%CI: 1.43-10.9, P = 0.008), unplanned pregnancy (aPR = 3.59; 95%CI: 2.35-5.49, P < 0.001), and young maternal age (aPR = 0.25 for < 20 years vs 20-34 years; 95%CI: 0.10-0.64, P = 0.004), were the factors significantly associated with short interbirth interval. CONCLUSION: One out of every three womenwith antecedent caesarean delivery had a short interbirth interval. Short interbirth intervals were more common among women with history of still births, those who did not use postpartum family planning methods, and those whose pregnancies were unplanned, compared to their counterparts. Young mothers (< 20 years) were less likely to have short interbirth intervals compared to those who were 20 years or older. Efforts should be made to strengthen and scale up child-spacing programs targeting women with previous cesarean deliveries, given the high frequency of short interbirth intervals in this study population. CI - (c) 2022. The Author(s). FAU - Byamukama, Onesmus AU - Byamukama O AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. bonesmus@yahoo.com. FAU - Migisha, Richard AU - Migisha R AD - Department of Physiology, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. FAU - Kalyebara, Paul Kato AU - Kalyebara PK AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Tibaijuka, Leevan AU - Tibaijuka L AD - Department of Obstetrics and Gynecology, Mbarara Regional Referral Hospital, Mbarara, Uganda. FAU - Lugobe, Henry Mark AU - Lugobe HM AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Ngonzi, Joseph AU - Ngonzi J AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Ahabwe, Onesmus Magezi AU - Ahabwe OM AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Garcia, Kenia Raquel Martinez AU - Garcia KRM AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Mugyenyi, Godfrey R AU - Mugyenyi GR AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Boatin, Adeline Adwoa AU - Boatin AA AD - Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, USA. FAU - Muhumuza, Joy AU - Muhumuza J AD - Department of Obstetrics and Gynecology, Mbarara Regional Referral Hospital, Mbarara, Uganda. FAU - Ssalongo, Wasswa G M AU - Ssalongo WGM AD - Department of Obstetrics and Gynecology, Mbarara Regional Referral Hospital, Mbarara, Uganda. FAU - Kayondo, Musa AU - Kayondo M AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. FAU - Kanyesigye, Hamson AU - Kanyesigye H AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. LA - eng GR - K23 HD097300/HD/NICHD NIH HHS/United States GR - Not applicable/Mbarara University Kayanja Fellowship Program/ PT - Journal Article DEP - 20220330 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Adult MH - *Cesarean Section MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Parturition MH - Pregnancy MH - Tertiary Care Centers MH - Uganda/epidemiology MH - Young Adult PMC - PMC8969244 OTO - NOTNLM OT - Birth Interval OT - Birth spacing OT - Cesarean delivery OT - Short birth interval OT - Uganda COIS- The authors declare that they have no competing interests with regard to publication of this work. EDAT- 2022/04/01 06:00 MHDA- 2022/04/02 06:00 PMCR- 2022/03/30 CRDT- 2022/03/31 05:09 PHST- 2021/09/12 00:00 [received] PHST- 2022/03/24 00:00 [accepted] PHST- 2022/03/31 05:09 [entrez] PHST- 2022/04/01 06:00 [pubmed] PHST- 2022/04/02 06:00 [medline] PHST- 2022/03/30 00:00 [pmc-release] AID - 10.1186/s12884-022-04611-4 [pii] AID - 4611 [pii] AID - 10.1186/s12884-022-04611-4 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2022 Mar 30;22(1):268. doi: 10.1186/s12884-022-04611-4.