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Although the effects of interpregnancy intervals on adverse
perinatal outcomes are well known, little is known about their effects
on maternal morbidity and mortality. Conde-Agudelo and Belizán
(p 1255) examined the effects of interpregnancy intervals on adverse
maternal outcomes in a cross sectional study of over 400 000 Latin
American and Caribbean parous women. They found that women with
interpregnancy intervals shorter than 6 months were at increased risk
of maternal death, third trimester bleeding, premature rupture of
membranes, puerperal endometritis, and anaemia, while women with
interpregnancy intervals longer than 59 months were at increased risk
of pre-eclampsia and eclampsia.