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BMJ 2003;327 (9 August), doi:10.1136/bmj.327.7410.0-e
Conceiving shortly after giving birth is independently associated with preterm birth and neonatal death. In an analysis of almost 90 000 women having second births after an uncomplicated first birth at term, Smith and colleagues (p 313) found that, after demographic factors were adjusted for, women with an interpregnancy interval of less than six months had a 60% excess of moderately preterm birth, double the risk of extremely preterm birth, and almost four times the risk of neonatal death. The authors state that strategies to reduce the number of women who have very short intervals between pregnancies may reduce the numbers of preterm births.
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Credit: NEVILLE PYNE/REX
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