AbstractAims: To study the impact of inter pregnancy interval on perinatal outcome.Materials and Methods: In the Prospective observational study 100 antenatal women who were second gravidawhose previous pregnancy ended in a live birth at term were studied in accordance to varying inter pregnancyintervals whose maternal and perinatal outcomes were observed.Results: Severe anaemia was seen more in short interpregnancy interval.26.6% cases in short interpregnancyinterval had severe anaemia. Overt diabetes mellitus (6.6%) was seen in long interpregnancy interval. GDM isnot statistically associated with any of the interval groups. In this study, majority of Preterm, very and extremelypreterm deliveries were in short interpregnancy interval is significant. Most of the cases in all intervals deliveredvaginally. In long interpregnancy intervals 30% delivered by LSCS.IUD and Still births were 6.6% and 6.6% inshort and long interpregnancy interval respectively. There was low APGAR babies seen in both short(6.6%) andlong(6.6%) interpregnancy interval. 13.3%, 17.5%, 10% moderately low APGAR seen in short, normal and longinterpregnancy intervals respectively. 36.6% and 20% women delivered low birth weight and very low birthweights respectively in short interpregnancy interval group, 30% LBW and 10% VLBW in long interpregnancyinterval. There was one congenital anomaly in long interpregnancy interval which was meningomyelocele.36.6% NICU admissions were in short interpregnancy interval and 30% NICU admissions in longinterpregnancy interval. 10% and 13.3% neonatal deaths were there in short and long interpregnancy intervalsrespectively.Conclusions: The risks for maternal and perinatal morbidity associated with short inter pregnancy intervalsunderscore the importance of birth spacing to promote safe motherhood and achieve better pregnancy outcomes.

AbstractAims: To study the impact of inter pregnancy interval on perinatal outcome.Materials and Methods: In the Prospective observational study 100 antenatal women who were second gravidawhose previous pregnancy ended in a live birth at term were studied in accordance to varying inter pregnancyintervals whose maternal and perinatal outcomes were observed.Results: Severe anaemia was seen more in short interpregnancy interval.26.6% cases in short interpregnancyinterval had severe anaemia. Overt diabetes mellitus (6.6%) was seen in long interpregnancy interval. GDM isnot statistically associated with any of the interval groups. In this study, majority of Preterm, very and extremelypreterm deliveries were in short interpregnancy interval is significant. Most of the cases in all intervals deliveredvaginally. In long interpregnancy intervals 30% delivered by LSCS.IUD and Still births were 6.6% and 6.6% inshort and long interpregnancy interval respectively. There was low APGAR babies seen in both short(6.6%) andlong(6.6%) interpregnancy interval. 13.3%, 17.5%, 10% moderately low APGAR seen in short, normal and longinterpregnancy intervals respectively. 36.6% and 20% women delivered low birth weight and very low birthweights respectively in short interpregnancy interval group, 30% LBW and 10% VLBW in long interpregnancyinterval. There was one congenital anomaly in long interpregnancy interval which was meningomyelocele.36.6% NICU admissions were in short interpregnancy interval and 30% NICU admissions in longinterpregnancy interval. 10% and 13.3% neonatal deaths were there in short and long interpregnancy intervalsrespectively.Conclusions: The risks for maternal and perinatal morbidity associated with short inter pregnancy intervalsunderscore the importance of birth spacing to promote safe motherhood and achieve better pregnancy outcomes.