Birth spacing of pregnant women in Nepal: A community-based study

Background: Optimal birth spacing has health advantages for both mother and child. In developing countries, shorter birth intervals are common and associated with social, cultural, and economic factors, as well as a lack of family planning. This study investigated the first birth interval after marr...

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Main Authors: Karkee, R., Lee, Andy
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/54443
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author Karkee, R.
Lee, Andy
author_facet Karkee, R.
Lee, Andy
author_sort Karkee, R.
building Curtin Institutional Repository
collection Online Access
description Background: Optimal birth spacing has health advantages for both mother and child. In developing countries, shorter birth intervals are common and associated with social, cultural, and economic factors, as well as a lack of family planning. This study investigated the first birth interval after marriage and preceding interbirth interval in Nepal. Methods: A community-based prospective cohort study was conducted in the Kaski district of Nepal. Information on birth spacing, demographic, and obstetric characteristics was obtained from 701 pregnant women using a structured questionnaire. Logistic regression analyses were performed to ascertain factors associated with short birth spacing. Results: About 39% of primiparous women gave their first child birth within 1 year of marriage and 23% of multiparous women had short preceding interbirth intervals (< 24 months). The average birth spacing among the multiparous group was 44.9 (SD 21.8) months. Overall, short birth spacing appeared to be inversely associated with advancing maternal age. For the multiparous group, Janajati and lower caste women, and those whose newborn was female, were more likely to have short birth spacing. Conclusion: The preceding interbirth interval was relatively long in the Kaski district of Nepal and tended to be associated with maternal age, caste, and sex of newborn infant. Optimal birth spacing programs should target Janajati and lower caste women, along with promotion of gender equality in society.
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spelling curtin-20.500.11937-544432017-09-13T16:09:31Z Birth spacing of pregnant women in Nepal: A community-based study Karkee, R. Lee, Andy Background: Optimal birth spacing has health advantages for both mother and child. In developing countries, shorter birth intervals are common and associated with social, cultural, and economic factors, as well as a lack of family planning. This study investigated the first birth interval after marriage and preceding interbirth interval in Nepal. Methods: A community-based prospective cohort study was conducted in the Kaski district of Nepal. Information on birth spacing, demographic, and obstetric characteristics was obtained from 701 pregnant women using a structured questionnaire. Logistic regression analyses were performed to ascertain factors associated with short birth spacing. Results: About 39% of primiparous women gave their first child birth within 1 year of marriage and 23% of multiparous women had short preceding interbirth intervals (< 24 months). The average birth spacing among the multiparous group was 44.9 (SD 21.8) months. Overall, short birth spacing appeared to be inversely associated with advancing maternal age. For the multiparous group, Janajati and lower caste women, and those whose newborn was female, were more likely to have short birth spacing. Conclusion: The preceding interbirth interval was relatively long in the Kaski district of Nepal and tended to be associated with maternal age, caste, and sex of newborn infant. Optimal birth spacing programs should target Janajati and lower caste women, along with promotion of gender equality in society. 2016 Journal Article http://hdl.handle.net/20.500.11937/54443 10.3389/FPUBH.2016.00205 http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle Karkee, R.
Lee, Andy
Birth spacing of pregnant women in Nepal: A community-based study
title Birth spacing of pregnant women in Nepal: A community-based study
title_full Birth spacing of pregnant women in Nepal: A community-based study
title_fullStr Birth spacing of pregnant women in Nepal: A community-based study
title_full_unstemmed Birth spacing of pregnant women in Nepal: A community-based study
title_short Birth spacing of pregnant women in Nepal: A community-based study
title_sort birth spacing of pregnant women in nepal: a community-based study
url http://hdl.handle.net/20.500.11937/54443