Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “First Birth Intervals”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 91 records · Page 5Linked to original sources
PubMed2000

Enduring effects of nurse home visitation on maternal life course: a 3-year follow-up of a randomized trial.

CONTEXT: A home visitation program using nurses to improve maternal and child outcomes had favorable results in a randomized trial with a primarily white, semirural population. Many of the short-term findings have been replicated with urban blacks, but whether the program will continue to demonstrate effectiveness after its conclusion is uncertain. OBJECTIVE: To determine the effectiveness of a prenatal and infancy home visitation program on the maternal life course of women in an urban environment 3 years after the program ended. DESIGN AND SETTING: Three-year follow-up of a randomized controlled trial of women seen consecutively between June 1990 and August 1991 at an obstetrical clinic in Memphis, Tenn, who were enrolled in a visitation program for 2 years after the birth of their first child. PARTICIPANTS: A cohort of 743 women who were primarily black, were pregnant for less than 29 weeks, had no previous live births, and had at least 2 sociodemographic risk factors (unmarried, <12 years of education, or unemployed). INTERVENTION: An average of 7 (range, 0-18) home visits during pregnancy and 26 (range, 0-71) from birth to the child's second birthday. MAIN OUTCOME MEASURES: Rate of subsequent pregnancy, mean interval between first and second birth, and mean number of months of welfare use. RESULTS: Compared with the control group, women who received home visits by nurses had fewer subsequent pregnancies (1.15 vs 1.34; P=.03), fewer closely spaced subsequent pregnancies (0.22 vs 0.32; P=.03), longer intervals between the birth of the first and second child (30.25 vs 26.60 months; P=.004), and fewer months of using Aid to Families with Dependent Children (32.55 vs 36.19; P=.01) and food stamps (41.57 vs 45.04; P=.005). Compared with the effect of the program while the program was in operation, the effect after it ended was essentially equal for Aid to Families with Dependent Children, greater for food stamps, greater for rates of closely spaced subsequent pregnancies, and smaller for rates of subsequent pregnancy overall. CONCLUSIONS: We found enduring effects of a home visitation program on the lives of black women living in an urban setting. While these results were smaller in magnitude than those achieved in a previous trial with white women living in a semirural setting, the direction of the effects was consistent across the 2 studies.

Black or African American↗
PubMed1987

Breast cancer risk in relation to type of estrogen contained in oral contraceptives.

We report analyses designed to address the recent hypothesis that women who use combination-type OCs containing ethinylestradiol (EE) are at increased risk of breast cancer before age 45, if use of such OCs occurs prior to first term pregnancy (FTP). Our findings, based on data from 1679 cases and 1689 controls, 20-44 years of age, from the population-based Cancer and Steroid Hormone Study, are against the hypothesis. The relative risk of breast cancer by duration of exclusive use prior to FTP of OCs containing EE is estimated to be 1.0 (1-12 months EE use), 1.2 (13-48 months EE use), and 0.9 (49+ months EE use). There was no evidence of a latent effect. Among parous women with 49+ months exclusive use prior to FTP of EE-containing OCs, the relative risk of breast cancer was estimated as 0.9 (0-4 years after FTP) and 0.6 (5-9 years after FTP). Among nulliparous women with 49+ months exclusive use of EE-containing OCs, the relative risk of breast cancer was estimated as 1.0 (0-4 years since first use), 0.7 (5-9 years since first use), and 1.1 (10-14 years since first use). With regard to exclusive use of OCs containing mestranol, parous women who used such preparations long-term before their FTP showed no alteration of breast cancer risk, even 15 years or more after pregnancy. Nulliparous women with exclusive use of ME-containing OCs did show elevations in breast cancer risk, but the magnitude of risk in relation to duration of use and latent interval shows no pattern that suggests a cause-effect relationship.

Adult↗
PubMed1988

Socio-demographic correlates of divorce in New Zealand.

"This paper links data obtained from a one-in-five systematic sample of New Zealand divorce files covering the period 1940-78 with published marriage and birth statistics to examine socio-demographic differentials in divorce rates among couples married between 1939 and 1973. Differentials investigated are those by age at marriage, relative age of bride and groom, marital status prior to marriage, relative marital status of bride and groom, pregnancy status of the wife at marriage, timing of the first birth, religion, country of birth and socioeconomic status. Several findings of overseas studies, such as the special proneness to divorce of very youthful marriages and remarriages following previous divorces, are verified for New Zealand. After controlling for age at marriage, pregnancy does not seem to have directly increased the risk of divorce."

Birth Intervals↗
PubMed1981

Population growth rates decline in five provinces.

Natural population growth rates in Shandong, Zhejiang, Shaanxi, Jiangxi, and Henan provinces last year were much lower than the 1980 national average of less than 11/1000, according to provincial authorities. The population growth rate in Shandong province, which has 73 million people, dropped to 7.03/1000 last year, 3.76/1000 less than in 1979. Some 100,000 fewer babies were born in Zhejiang province last year, compared with the figure for 1979. That birth rate was the lowest achieved in the past 30 years. In Shaanxi province, the population growth rate in 1980 was 7.19/1000. More than 458,000 couples in the province who have 1 child have decided to bear no more children, the authorities said. The population growth rate in Jiangxi and Henan provinces fell from 13.74/1000 in 1979 to 9.11/1000 in 1980 and from 12.88/1000 in 1979 to 9.53/1000 last year. The decline of the population growth rate is attributed to late marriage, late childbearing, family planning education, and encouragement of 1-child families.

Asia↗
PubMed1989

Human capital, marital and birth timing, and the postnatal labor force participation of married women.

Using materials from the National Longitudinal Surveys of Labor Market Experience of Young Women, this article analyzes postnatal labor force participation data for married husband-present women over a 15-year period in order to study factors associated with the length of time out of the labor force following the 1st birth. Survival analyses and proportional hazards models indicate that human capital variables (education, prebirth work experience, and income) and marital and birth-timing variables (age at 1st marriage and age at 1st birth) have significant estimated effects on the rate and timing of reentry into the paid labor force.

Americas↗
PubMed1985

[A study of attitudes and behavior regarding fertility among newlyweds in Taipei City].

There are around 40,000 births in Taipei City each year. Of them about 40% are of the 1st parity. Of all deliveries, about 80% are born to mothers under 30 years old. There are about 20,000 marriages each year. Of all brides and grooms surveyed in the present study, 39.4% and 39.1% consider the ideal time to conceive being either as early as possible or within 1 year after the wedding. In actuality, 28.08% of the respondents were already pregnant before the wedding. Excluding the inteviewees who were married for over 1 year, 34.1% are currently pregnant, 6.98% have already given birth, and 0.15% have become pregnant again after a birth. This result is similar to the findings of the KAP conducted by the Center in 1980, which showed that 41.3% of the interviewees gave birth to their 1st child within 1 year after the wedding. The same survey of 1980 also finds that the interval between the 1st and the 2nd child is 1.94 years, though women in general consider the ideal interval to be 2.6 years. How to encourage those who are to be married and the newlyweds to prolong the intervals between the wedding and the 1st child and between the 1st and the 2nd child is an important task of the health educators. The present study interviews 1013 couples who registered their marriages in October 1983. Needs, targets, and contents of education programs are identified. Better ways to communicate with the newlyweds are also indicated. The purpose of the study, based on the findings, is to propose a model most suitable for the education in family planning of those who are to be married and who are just married, in order to provide them with better services and to further reduce the fertility of young people.

Age Factors↗
PubMed2004

A population-based study on the risk of cervical cancer and cervical intraepithelial neoplasia among grand multiparous women in Finland.

Previous studies suggest that high parity increases the risk of cervical cancer. We studied the risk of cervical cancer (CC) and cervical intraepithelial neoplasia (CIN3) in a Finnish cohort of grand multiparous (GM) women (at least five children) with low prevalence of sexually transmitted infections (STI). The Finnish Cancer Registry data revealed 220 CC and 178 CIN3 cases among 86 978 GM women. Standardised incidence ratios (SIR) were calculated from the numbers of observed and expected cases. Interval analyses by parity, age at first birth and average birth interval were done using multivariate Poisson regression. Seroprevalence of human papillomavirus (HPV) 16 and Chlamydia trachomatis was tested among 561 GM women and 5703 women with 2-4 pregnancies. The incidence among GM women was slightly above the national average for squamous cell carcinoma of cervix uteri (SIR 1.21, 95% CI 1.05-1.40) and CIN3 (1.37, 95% CI 1.17-1.58), but lower for adenocarcinoma (SIR 0.77, 95% CI 0.52-1.10). The seroprevalence of HPV16 and Chlamydia trachomatis among GM women was lower than in the reference population, except among those women who had their child under age 19. Age under 20 years at first birth increased the risk of CC and CIN3 especially in premenopausal GM women, while increasing parity had no effect. The small relative risks of CC and CIN3 among GM women in our study as compared to studies from other countries can be explained by the exceptionally low prevalence of STIs in Finnish GM women. The observed SIRs between 1.2 and 1.4 should be interpreted to represent increased risk attributable to grand multiparity. The increased incidence of CC and CIN3 among young GM women suggests causal association to HPV 16 and Chlamydia trachomatis infections.

Adenocarcinoma↗