Abstract
INTRODUCTION: Short Interpregnancy interval (IPI) affects maternal and perinatal outcomes such as maternal mortality, premature rupture of membrane, pre-eclampsia, puerperal endometritis, maternal anaemia, low birth weight, preterm birth, small for gestational age, perinatal mortality and neonatal mortality. This study aims to determine the determinants of short interpregnancy interval among antenatal mothers. METHODS: A cross-sectional study was conducted among 452 antenatal mothers attending health clinics in Klang in April 2018. The respondents were randomly selected, and data was collected by using a validated and reliable self-administered questionnaire. The dependent variable was short IPI and the independent variables were defined to be parity, menstrual cycle pattern, miscarriage history, illicit drugs abuse, smoking history, the preceding childs sex and survival status, multiple birth and breastfeeding duration. The data was analysed using IBM Statistical Package for Social Science (SPSS) version 24. RESULTS: Among 452 antenatal mothers studied, 48% had short IPIs with a median of 23 months (IQR±24). Three predictors of short IPI were identified which were parity one (Adjusted Odds Ratio; aOR: 2.465, 95%CI: 1.519, 3.999), irregular menstruation (aOR: 1.844, 95%CI: 1.917, 2.841) and breastfeeding duration of less than 24 months (aOR: 2.846, 95%CI: 1.708, 4.743). Conclusion: The strongest predictor of short IPI was breastfeeding duration of less than 24 months followed by mothers with one parity and irregular menstruation. Higher authorities should integrate a multifaceted approach to create and sustain a breastfeeding culture to mitigate short IPI.
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@proceedings{APCPH-2019-266,
title = {Role of Obstetric History, Preceeding Child Factors and High Risk Behaviours in Predicting Short Interpregnancy Interval Among Antenatal Mothers in Klang},
author = {Mardiana Omar and Nor Afiah Mohd and Zulkefli and Norliza Ahmad},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Short Interpregnancy interval (IPI) affects maternal and perinatal outcomes such as maternal mortality, premature rupture of membrane, pre-eclampsia, puerperal endometritis, maternal anaemia, low birth weight, preterm birth, small for gestational age, perinatal mortality and neonatal mortality. This study aims to determine the determinants of short interpregnancy interval among antenatal mothers. METHODS: A cross-sectional study was conducted among 452 antenatal mothers attending health clinics in Klang in April 2018. The respondents were randomly selected, and data was collected by using a validated and reliable self-administered questionnaire. The dependent variable was short IPI and the independent variables were defined to be parity, menstrual cycle pattern, miscarriage history, illicit drugs abuse, smoking history, the preceding childs sex and survival status, multiple birth and breastfeeding duration. The data was analysed using IBM Statistical Package for Social Science (SPSS) version 24. RESULTS: Among 452 antenatal mothers studied, 48% had short IPIs with a median of 23 months (IQR±24). Three predictors of short IPI were identified which were parity one (Adjusted Odds Ratio; aOR: 2.465, 95%CI: 1.519, 3.999), irregular menstruation (aOR: 1.844, 95%CI: 1.917, 2.841) and breastfeeding duration of less than 24 months (aOR: 2.846, 95%CI: 1.708, 4.743). Conclusion: The strongest predictor of short IPI was breastfeeding duration of less than 24 months followed by mothers with one parity and irregular menstruation. Higher authorities should integrate a multifaceted approach to create and sustain a breastfeeding culture to mitigate short IPI.},
note = {Type: POSTER PRESENTATION; Organisation: Community Health Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang Selangor, Malaysia, Klang Health District, Ministry of Health, Klang, Selangor, Malaysia},
keywords = {High risk behaviours, Obstetric history, Preceding child factors, predictors, Short interpregnancy interval},
pubstate = {published},
tppubtype = {proceedings}
}