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Journal of Tropical Pediatrics Advance Access originally published online on April 27, 2008
Journal of Tropical Pediatrics 2008 54(5):321-327; doi:10.1093/tropej/fmn027
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Birth Interval and Risk of Stillbirth or Neonatal Death: Findings from Rural North India

Emma K. Williamsa, Mian B. Hossainb, Ravendra K. Sharmac, Vishwajeet Kumara, Chandra M. Pandeyd and Abdullah H. Baquia

aDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD USA
bSchool of Community Health and Policy, Morgan State University, Baltimore MD, USA
cIndian Council of Medical Research, Jabalpur, India
dDepartment of Biostatistics, Sanjay Gandhi Postgraduate Institute, Lucknow, Uttar Pradesh, India

Correspondence: Emma K. Williams, 615 N. Wolfe St, Ste. E8650, Baltimore, MD 21205, USA. E-mail: <emwillia{at}jhsph.edu>.


  Abstract

Short birth intervals have been associated with adverse birth outcomes. This study examines the association between preceding interval and risk of stillbirth or neonatal death in rural north India (n = 80 164). Adjusted odds ratios (OR) and 95% confidence interval (CI) of stillbirth and neonatal mortality were calculated. The odds of stillbirth were significantly greater among birth intervals of <18 months (OR 3.10; CI: 2.69–3.57), 18–35 months (OR 1.47; CI 1.30–1.68) and >59 months (OR 1.44; CI 1.19–1.73), compared with intervals of 36–59 months. Neonatal death was associated with birth intervals of <18 months (OR 4.12; CI 3.74–4.55) and 18–35 months (OR 1.78; CI 1.63–1.94), compared to births spaced 36–59 months. Previous history of either stillbirth or neonatal death was significantly associated with risk of stillbirth and neonatal death, respectively, as were multiple births.


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