Factors affecting interpregnancy interval among women of reproductive age
Shaimaa H.A. Elsayed, Magda A. Fawaz, Reda M.N. Aboushady, Sahar M. IbrahimBackground
Interpregnancy interval (IPI) is a critical determinant of maternal and neonatal health outcomes.
Aim
This study aimed to assess the factors affecting IPI among women of reproductive age.
Research design
A descriptive exploratory research design was adopted.
Sample
A convenience sample of 375 women was recruited.
Setting
The study was conducted in Sections 10 and 21 of the postpartum unit at the Obstetrics and Gynecology Hospital at Al-Kasr Al-Ainy University Hospital.
Tools
An interviewer-administered questionnaire that contained three parts: demographic characteristics, reproductive history, and IPI patterns.
Results
The findings revealed that the age of the study sample ranged from under 20 to 35 years, with a mean of 28.43±4.84 years. About 57.6% were aged 20 to less than or equal to 30 years, and 68.0% of them lived in urban areas. The majority were housewives (93.6%), 69.6% of them reported sufficient income, and 33.3% had completed secondary education. The mean gravidity was 3.49±1.08, and the mean parity was 2.20±1.01. Moreover, 38.4% of the study sample had a short IPI, and 34.4% had a long IPI, while 27.2% of them had an optimal IPI. Statistically significant associations were found between IPI and maternal age, duration of marriage, gravidity, parity, number of living children, pregnancy intention, contraceptive use, and previous breastfeeding practices.
Conclusion
IPIs are influenced by a multifaceted interaction of demographic, reproductive, and behavioral factors.
Recommendations
Implement targeted education and support for women of reproductive age, with routine screening for risks of short and long IPI during preconception and antenatal care.