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From:
Virginia Bobro <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 12 Aug 2003 07:13:20 -0700
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Yet another reason to promote ecological breastfeeding!!

~Virginia Bobro
IBCLC, CD(DONA)


>>SHORT GAPS BETWEEN PREGNANCIES LINKED TO COMPLICATIONS

(Interpregnancy interval and risk of preterm birth and
neonatal death: retrospective cohort study)
http://bmj.com/cgi/content/full/327/7410/313

Women with a very short interval between pregnancies are at
an increased risk of complications such as premature birth,
neonatal death, and low birth weight, say researchers in this
week's BMJ.

The study involved over 89,000 women having second births in
Scotland in 1992-8. Women whose interval between pregnancies
was less than six months were much more likely to have had
complicated first births.They were also more likely to be
less than 20 years old, to smoke, and to live in an area of
high social and economic deprivation.

Even among women with an uncomplicated first birth, and after
taking account of social and economic factors, a short
interval between pregnancies was associated with an increased
risk of premature birth and neonatal death.

The authors propose that women should be informed of a small
but significantly higher risk of premature birth and death
when they conceive shortly after a birth.

Contraceptive advice should be targeted towards women who are
most likely to have a short interpregnancy interval, such as
teenagers and women who have lost a newborn baby, they
conclude.

Contact:
Professor Gordon Smith, Department of Obstetrics and
Gynaecology, Cambridge University, The Rosie
Hospital, Cambridge, UK
Email: [log in to unmask]

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