Abstract

Background: A lot of public health investigator have notified that the duration between the delivery and conception of next child (IPI) or the inter birth interval is associated with outcomes of subsequent pregnancy. Early fetal death is loss of conceptions (<16 weeks) gestation in a multifetal gestation. A spontaneous abortion is > 16 weeks - < 24 weeks gestation.

Objective: To evaluate correlation between interpregnancy intervals and congenital anomaly and to found the association between IPI and anomalies caused by folate deficiency.

Methods: Present retrospectively study done at Kamla Raja Hospital, Gajra Raja Medical College, Gwalior (M.P. between 2016 to 2018. All multipara women attending antenatal clinics included in this study. Present study conducted on 190 cases.

Results: 67(35.26%) cases belongs to interpreganncy interval < 12 weeks. Interpregnancy interval 12-24 weeks, 25-35 weeks and > 35 weeks were in 56(29.47%), 25(13.16%) and 42(22.11%) respectively. 34.74% and 34.21% cases belonged to maternal age between 21-25 years and 26-30 years respectively. Maternal age < 20 years and > 30 years were 10% and 20.53% respectively. Majority of cases belonged to gravida 2 i.e. 52.11% followed by Gravida 3 and 4+ were 33.68% cases and 14.21% cases respectively.  Maximum patients not having history of prior anomaly (87.89%), only 12.11% cases have history of anomaly. Still birth found in 51.58% cases and still birth not found in 48.42% cases.

Conclusion: Interpregnancy interval has significant association with preterm, low birth weight and gestational age babies. Couselling regarding interpregancy interval can help in reducing adverse perinatal outcome.