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Birth order, interpregnancy interval and birth outcomes among Filipino infants

Published online by Cambridge University Press:  31 July 2008

Jane E. Miller
Jane E. Miller
Affiliation:
Office of Population Research, Princeton University
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Summary

This study examines the effects of birth order and interpregnancy interval on birthweight, gestational age, weight-for-gestational age, infant length, and weight-for-length in a sample of 2063 births from a longitudinal study in the Philippines. First births are the most disadvantaged of any birth order/spacing group. The risks associated with short intervals (<6 months) and high birth order (fifth or higher) are confined to infants who have both attributes; there is no excess risk associated with short previous intervals among lower-order infants, nor for high birth order infants conceived after longer intervals. This pattern is observed for all five birth outcomes and neonatal mortality, and persists in models that control for mother's age, education, smoking, family health history and nutritional status. Since fewer than 2% of births are both short interval and high birth order, the potential reduction in the incidence of low birthweight or neonatal mortality from avoiding this category of high-risk births is quite small (1–2%).

Type
Research Article
Information
Journal of Biosocial Science , Volume 26 , Issue 2 , April 1994 , pp. 243 - 259
Copyright
Copyright © Cambridge University Press 1994

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References

Adair, L. S. & Popkin, B. M. (1988) Birth weight, maturity and proportionality in Filipino infants. Hum. Biol. 60, 319.Google ScholarPubMed
Ballard, J. L., Novak, K. K. & Driver, M. (1979) A simplified score for assessment of fetal maturation in newly born infants. J. Pediat. 95, 769.CrossRefGoogle ScholarPubMed
Brenner, W. E., Edelman, D. A. & Hendricks, C. H. (1976) A standard of fetal growth for the United States of America. Am. J. Obstet. Gynec. 126, 555.CrossRefGoogle ScholarPubMed
Brody, D. J. & Bracken, M. B. (1987) Short interpregnancy interval: a risk factor for low birthweight. Am. J. Perinatol. 4, 50.CrossRefGoogle ScholarPubMed
Bross, D. S. & Shapiro, S. (1982) Direct and indirect associations of five factors with infant mortality. Am. J. Epidemiol. 115, 78.CrossRefGoogle ScholarPubMed
Da Vanzo, J., Habicht, J.-P. & Butz, W. P. (1984) Assessing socioeconomic correlates of birthweight in peninsular Malaysia: ethnic differences and changes over time. Social Sci. Med. 18, 387.CrossRefGoogle ScholarPubMed
Eisner, V., Brazie, J. V., Pratt, M. W. & Hexter, A. C. (1979) The risk of low birth weight. Am. J. Publ. Hlth, 69, 887.CrossRefGoogle Scholar
Fedrick, J. & Adelstein, P. (1973) Influence of pregnancy spacing on outcome of pregnancy. Br. Med. J. 4, 753.CrossRefGoogle ScholarPubMed
Ferraz, E. M., Gray, R. H. & Cunha, T. M. (1990) Determinants of preterm delivery and intrauterine growth retardation in north-east Brazil. Int. J. Epidemiol. 19, 101.CrossRefGoogle ScholarPubMed
Ferraz, E. M., Gray, R. H., Fleming, P. L. & Maia, T. M. (1988) Interpregnancy interval and low birth weight: findings from a case-control study. Am. J. Epidemiol. 128, 1111.CrossRefGoogle ScholarPubMed
Frisancho, A. R., Klayman, J. E. & Matos, J. (1977) Influence of maternal nutritional status on prenatal growth in a Peruvian urban population. Am. J. phys. Anthropol. 46, 265.CrossRefGoogle Scholar
Grant, J. P., Custer, P. B. & Thurlow, J. (1981) Current techniques of nutritional assessment. Surg. Clin. North America, 61, 437.CrossRefGoogle ScholarPubMed
Gribble, J. N. (1993) Birth intervals, gestational age, and low birth weight: are the relationships confounded?. Popul Stud. 47, 133.CrossRefGoogle Scholar
Guilkey, D. K., Popkin, B. M., Akin, J. S. & Wong, E. L. (1989) Prenatal care and pregnancy outcome in Cebu, Philippines. J. devl. Econ. 30, 241.CrossRefGoogle Scholar
Haaga, J. (1989) Mechanisms for the association of maternal age, parity and birth spacing with infant health. In: Contraceptive Use and Controlled Fertility: Health Issues for Women and Children. Edited by Parnell, A.M.National Academy Press, Washington, DC.Google Scholar
Hobcraft, J. (1991). Child spacing and child mortality. In: Proceedings of the Demographic and Health Survey World Conference, Washington, DC, Vol. 2, pp. 1157–1181. IRD/Macro International, Columbia, Maryland.Google Scholar
Hobcraft, J., McDonald, J. & Rutstein, S. O. (1985) Demographic determinants of infant and child mortality. Popul. Stud. 39, 363.CrossRefGoogle Scholar
Institute of Medicine (1985) Preventing Low Birthweight. National Academy Press, Washington, DC.Google Scholar
Jelliffe, D. B. & Maddocks, I. (1964) Ecologic malnutrition in the New Guinea Highlands. Clin. Pediat. 3, 432.CrossRefGoogle ScholarPubMed
Kishan, J., Elzouki, A. Y., Mir, N. A. & Faquih, A. M. (1985) Ponderal index as a predictor of neonatal morbidity in small for gestational age infants. Ind. J. Pediatr. 52, 133.CrossRefGoogle ScholarPubMed
Kramer, J. S. (1987) Intrauterine growth and gestation determinants. Pediatrics, 80, 502.CrossRefGoogle ScholarPubMed
Lang, J. M., Lieberman, E., Ryan, K. J. & Monson, R. R. (1990) Interpregnancy interval and risk of preterm labor. Am. J. Epidemiol. 132, 304.CrossRefGoogle ScholarPubMed
Lieberman, E., Lang, J. M., Ryan, K. J., Monson, R. R. & Schoenbaum, S. C. (1989) The association of inter-pregnancy interval with small for gestational age birth. Obstet. Gynec. 74, 1.Google Scholar
Lilienfield, A. M. & Lilienfeld, D. L. (1980) Foundations of Epidemiology, 2nd edn. Oxford University Press, New York.Google Scholar
Mavalankar, D. V. & Gray, R. H. (1991) Letter to the Editor. Am. J. Epidemiol. 133, 958.CrossRefGoogle Scholar
Miller, J. (1989) Determinants of intrauterine growth retardation: evidence against maternal depletion. J. biosoc. Sci. 21, 235.CrossRefGoogle ScholarPubMed
Miller, J. (1991) Birth spacing and perinatal health: an investigation of three hypotheses. Fam. Plann. Perspect. 23, 62.CrossRefGoogle ScholarPubMed
Miller, J. (1993) Mother's age at first birth and birth outcomes in the Philippines. Int. Fam. Plann. Perspect. 19, 98.CrossRefGoogle Scholar
Miller, H. C. & Hassanein, K. (1971) Diagnosis of impaired fetal growth in newborn infants. Pediatrics, 48, 511.CrossRefGoogle ScholarPubMed
Miller, J., Trussell, J., Pebley, A. R. & Vaughan, B. (1992) Birth spacing and child mortality in Bangladesh and the Philippines Demography, 29, 305.Google Scholar
National Research Council (1989) Contraception and Reproduction: Health Consequences for Women and Children in the Developing World, National Academy Press, Washington, DC.Google Scholar
Office of Population Studies, University of San Carlos (1989) Metro Cebu Longitudinal Health and Nutrition Study: Survey Procedures and Survey Instruments, University of North Carolina, Chapel Hill.Google Scholar
Rosso, P. & Winick, M. (1974) Intrauterine growth retardation: a new systematic approach based on the clinical and biochemical characteristics of this condition. J. perinatal. Med. 2, 147.Google ScholarPubMed
Spiers, P. S. & Wang, L. (1976) Short pregnancy intervals, low birth weight and SIDS. Am. J. Epidemiol. 104, 15.CrossRefGoogle Scholar
World Health Organization (1978) A WHO Report on Social and Biological Effects on Perinatal Mortality, Vols 1 and 2. Statistical Publishing House, Budapest.Google Scholar
Yerushalmy, J., Bierman, J. M., Kemp, D. H., Connor, A. & French, F. E. (1956) Longitudinal studies of pregnancy on the island of Kauai, Territory of Hawaii: I. Analysis of previous reproductive history. Am. J. Obstet. Gynec. 71, 80.CrossRefGoogle ScholarPubMed