Dedecker F, Graesslin O, Ceccaldi P-F, Baudelot E, Montilla F, Derniaux E, Gabriel R
Institut Mère-Enfant Alix-de-Champagne, Centre Hospitalier Universitaire, Reims.
J Gynecol Obstet Biol Reprod (Paris). 2006 Feb;35(1):28-34. doi: 10.1016/s0368-2315(06)76369-4.
To study risk factors and perinatal outcomes in short interpregnancy intervals.
Retrospective study, between 1995 and 2001, comparing women with short interpregnancy intervals (<6 months, n = 192) and women controls (interpregnancy intervals between 18 and 23 months, n = 210). The analysis included demographical and social factors, maternal medical histories and perinatal outcomes for the 2(nd) pregnancy.
Risk factors of short interpregnancy intervals were: young age, no anterior contraception, celibacy, medical history of intrauterine fetal death or medical pregnancy termination and high parity and gestity. The patients at risks of short interpregnancy intervals often belong to little supported social background, are generally without profession and often leave against medical opinion. The short interval between pregnancies is associated to a high score of prematurity (19% vs 8%, OR = 2.8, p < 0.001).
These data suggest that obstetricians and other care providers need to be alert to these identifiable risk factors and then direct preventive strategies during and after pregnancy.
研究短生育间隔的危险因素及围产期结局。
回顾性研究，时间跨度为1995年至2001年，比较生育间隔短（<6个月，n = 192）的女性与对照女性（生育间隔在18至23个月之间，n = 210）。分析包括人口统计学和社会因素、母亲病史以及第二次妊娠的围产期结局。
短生育间隔的危险因素有：年龄小、未采取前置避孕措施、独身、有胎儿宫内死亡病史或人工终止妊娠病史以及高胎次和高妊娠次数。生育间隔短的高危患者通常社会背景支持少，一般无职业，且常违背医嘱出院。妊娠间隔短与早产高分相关（19%对8%，OR = 2.8，p < 0.001）。
这些数据表明，产科医生和其他医疗服务提供者需要对这些可识别的危险因素保持警惕，并在孕期及产后指导预防策略。
