title: Effect of the interpregnancy interval on perinatal outcomes in Latin America.
abstract: OBJECTIVE
  To estimate whether interpregnancy interval is independently associated with increased risk of perinatal death and other adverse perinatal outcomes.
  
  
  METHODS
  We investigated the effect of interpregnancy interval on perinatal outcomes in 1,125,430 pregnancies recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay, between 1985 and 2004. Odds ratios (ORs) were adjusted for 16 major confounding factors using multiple logistic regression models.
  
  
  RESULTS
  Compared with infants with interpregnancy intervals of 18-23 months, those born to women with intervals shorter than 6 months had an increased risk of early neonatal death (adjusted OR 1.49, 95% confidence interval [CI] 1.06-1.96), fetal death (adjusted OR 1.54, 95% CI 1.28-1.83), low birth weight (adjusted OR 1.88, 95% CI 1.78-1.90), very low birth weight (adjusted OR 2.01, 95% CI 1.73-2.31), preterm birth (adjusted OR 1.80, 95% CI 1.71-1.89), very preterm birth (adjusted OR 1.95, 95% CI 1.67-2.26), and small for gestational age (adjusted OR 1.30, 95% CI 1.25-1.36). Intervals of 6-11 months and 60 months and longer were also associated with a significantly greater risk for the 7 adverse perinatal outcomes.
  
  
  CONCLUSIONS
  In Latin America, interpregnancy intervals shorter than 12 months and longer than 59 months are independently associated with increased risk of adverse perinatal outcomes. These data suggest that spacing pregnancies appropriately could prevent perinatal deaths and other adverse perinatal outcomes in the developing world.
authors.affiliation: Department of Obstetrics and Gynecology, Fundacion Clinica Valle del Lili, Cali, Colombia, South America. condeagu@uniweb.net.co
authors.forename: Agustin
authors.initials: A
authors.lastname: Conde-Agudelo
authors.forename: José M
authors.initials: JM
authors.lastname: Belizán
authors.forename: Maureen H
authors.initials: MH
authors.lastname: Norton
authors.forename: Anyeli
authors.initials: A
authors.lastname: Rosas-Bermúdez
mesh_terms: D001724:Birth Weight; D003906:Developing Countries; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007843:Latin America / Q000453:epidemiology; D016015:Logistic Models; D011247:Pregnancy; D013997:Time Factors