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首页> 外文期刊>International Journal of Reproductive Medicine >The Effects of Interpregnancy Intervals and Previous Pregnancy Outcome on Fetal Loss in Rwanda (1996–2010)
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The Effects of Interpregnancy Intervals and Previous Pregnancy Outcome on Fetal Loss in Rwanda (1996–2010)

机译：妊娠间隔和既往妊娠结局对卢旺达胎儿流失的影响（1996-2010年）

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In 2005, a WHO consultation meeting on pregnancy intervals recommended a minimum interval of 6 months after a pregnancy disruption and an interval of two years after a live birth before attempting another pregnancy. Since then, studies have found contradictory evidence on the effect of shorter intervals after a pregnancy disruption. A binary regression analysis on 21532 last pregnancy outcomes from the 2000, 2005, and 2010 Rwanda Demographic and Health Surveys was done to assess the combined effects of the preceding pregnancy outcome and the interpregnancy intervals (IPIs) on fetal mortality in Rwanda. Risks of pregnancy loss are higher for primigravida and for mothers who lost the previous pregnancy and conceived again within 24 months. After a live birth, interpregnancy intervals less than two years do not increase the risk of a pregnancy loss. This study also confirms higher risks of fetal death when IPIs are beyond 5 years. An IPI of longer than 12 months after a fetal death is recommended in Rwanda. Particular attention needs to be directed to postpregnancy abortion care and family planning programs geared to spacing pregnancies should also include spacing after a fetal death.
机译：2005年，世卫组织关于妊娠间隔的咨询会议建议，妊娠中断后至少间隔6个月，活产后间隔至少2年，然后再尝试再次妊娠。从那以后，研究发现了对妊娠中断后更短间隔的影响有相反的证据。对2000年，2005年和2010年卢旺达人口与健康调查的21532例最后妊娠结局进行了二元回归分析，以评估先前妊娠结局和妊娠间隔（IPIs）对卢旺达胎儿死亡率的综合影响。初产妇和失去先前妊娠并在24个月内再次受孕的母亲，妊娠流产的风险较高。活产后，怀孕间隔少于两年不会增加流产的风险。这项研究还证实，当IPI超过5年时，胎儿死亡的风险更高。卢旺达建议胎儿死亡后IPI超过12个月。需要特别注意怀孕后的流产护理，针对间隔怀孕的计划生育方案还应包括胎儿死亡后的间隔。

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