Mihretie Gedefaye Nibret, Yenealem Beyene Fentahun, Getnet Kassa Bekalu, Degu Ayele Alemu, Muche Liyeh Tewachew, Minuye Birihane Binyam
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor Town, Ethiopia.
Department of Midwifery, College of Health Sciences, Bahir Dar University, Bahir Dar Town, Ethiopia.
Arch Public Health. 2021 Apr 9;79(1):47. doi: 10.1186/s13690-021-00567-7.
The effect of short birth interval on socio-economic, negative maternal and child health outcomes remains common in developing countries. This study aimed to assess determinants of short birth interval among reproductive age women, who gave birth in health institution for last six-month in South Gondar, Ethiopia 2019.
Community-based unmatched case control study design was conducted from February 1 to March 30, 2019. Sample size of 150 was included by simple random sampling technique. The data was collected by semi-structured and pre-tested face to face interviewer-administered questionnaire from selected respondent. The collected data was entered with Epi-Data version 3.1 and analyzed by using SPSS version 23 software. Bivariate and multivariable analyses were used to examine the association. Odds ratio, 95% CI and P-value < 0.05 were used to determine the statistical association.
The mean age of the respondents was 32.42 (SD ± 5.14) and 35.12 (SD ± 5.86) for cases and controls, respectively. Mothers not used contraceptives (AOR = 6.29, 95% CI (1.95, 20.24)), participants who had ≤2 alive children (AOR = 5.57, 95% CI (1.47, 21.13)), mothers who breast fed less than 24 months (AOR = 3.42, 95% CI (1.38, 8.46)), husband decision on contraceptives utilization (AOR = 2.69,95% CI (1.05,6.88)) and mothers who did not have history of antenatal care follow up (AOR = 3.52, 95% CI (1.27, 9.75)) were associated with short birth interval.
The optimum birth spacing plays a vital role in decreasing fertility and the morbidity and mortality of mothers and children. Thus, providing health information on the benefit of breast feeding, follow-up of antenatal care during pregnancy, use of contraceptives after delivery and encouraging mothers to make decisions about their own health and use of contraceptives to optimize birth spacing for rural communities.
在发展中国家，生育间隔过短对社会经济、孕产妇及儿童健康产生的负面影响仍然普遍存在。本研究旨在评估2019年埃塞俄比亚南贡德尔地区过去六个月内在医疗机构分娩的育龄妇女中生育间隔过短的决定因素。
2019年2月1日至3月30日开展了基于社区的非匹配病例对照研究设计。采用简单随机抽样技术纳入150个样本量。通过半结构化且经过预测试的面对面访谈式问卷，从选定的受访者处收集数据。收集到的数据录入Epi-Data 3.1版本，并使用SPSS 23软件进行分析。采用双变量和多变量分析来检验关联性。比值比、95%置信区间和P值<0.05用于确定统计学关联。
病例组和对照组受访者的平均年龄分别为32.42（标准差±5.14）和35.12（标准差±5.86）。未使用避孕药具的母亲（比值比=6.29，95%置信区间（1.95，20.24））、存活子女≤2个的参与者（比值比=5.57，95%置信区间（1.47，21.13））、母乳喂养少于24个月的母亲（比值比=3.42，95%置信区间（1.38，8.46））、丈夫决定是否使用避孕药具（比值比=2.69，95%置信区间（1.05，6.88））以及没有产前检查随访史的母亲（比值比=3.52，95%置信区间（1.27，9.75））与生育间隔过短有关。
最佳生育间隔在降低生育率以及孕产妇和儿童的发病率和死亡率方面起着至关重要作用。因此，应向农村社区提供有关母乳喂养益处、孕期产前检查随访、产后使用避孕药具的健康信息，并鼓励母亲对自身健康和避孕药具的使用做出决定，以优化生育间隔。
