HOW LONG SHOULD THERE BE BETWEEN TWO BIRTHS?

How long does it take to get pregnant again after giving birth? How soon after birth should I get pregnant again? How many years should there be a difference between the two children? such questions are among the most frequently asked questions of patients who give birth and plan pregnancy again.
When we say how many breaks should be given between pregnancies, the specified period is the time from the day of birth to a second pregnancy (interpregnancy interval, IPI). What we mean here is not the time between the onset of both pregnancies.
In the researches, the patients taking short or long breaks were compared in terms of the time between two normal births or the time between two cesarean sections. In some of the studies, an increase in risk was found below and above the optimum time. Although there is a variation between studies, the interval of generally less than 2 years and the interval of more than 5 years showed an increase in the following risks during the second pregnancy. In the second pregnancy, which occurs with an interval of less than 6 months, the risk increase was found more.
The World Health Organization (WHO) reported that the interval between pregnancies is shorter than 2 years, which increases some risks. For this reason, he suggested that women who have a child under the age of 35 should take a break of at least 2 years for the second child. She suggested that women with a child over the age of 35 take a 1-year break before conceiving the second child. The reason for determining the duration as 1 year over 35 years is that as the age progresses, the fertility capacity decreases in women and the frequency of some complications related to pregnancy increases.
When the period between pregnancies is short, the following risks increase in the second pregnancy:
- Anemia in mother
- The risk of preterm delivery and PPROM increases when the time between pregnancies is short. There are studies reporting that there is an increased risk if pregnancy intervals are longer than 5 years.
- Congenital anomaly
- Low birth weight, SGA
- Autism
- stillbirth, neonatal death
The fact that the mother who got pregnant early will stop breastfeeding her first baby, as this will shorten the duration of breastfeeding of the first baby, which will have a negative effect.
How long to wait for pregnancy again after a miscarriage?
The World Health Organization (WHO) recommends a 6-month break for re-pregnancy after a miscarriage.
How long should there be between cesarean births?
The optimum interval recommended after cesarean delivery does not differ from normal birth. It is recommended to take a break of at least 2 years after a cesarean.


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