Women over 35 often want to have several children in quick succession. But researchers recommend a minimum waiting period. There are risks of getting pregnant 3 months after giving birth. According to one study, there should be a break of at least one year between a birth and a new pregnancy. “Our study found an increased risk for both mother and baby when pregnancies follow each other closely,” said lead author Laura Summers of the University of British Columbia.
The findings are particularly important for older women, she said, because they tend to have pregnancies with short pauses. For the study, which appeared in the journal “Jama Internal Medicine”, more than 148,000 pregnancies of a good 123,000 women in the Canadian province of British Columbia were evaluated.
Pregnant again quickly – researchers warn of risks
Of the women over 35 years of age who became pregnant again less than six months after giving birth, 1.2 per cent suffered serious complications or in individual cases even died before, during or not long after the birth. With a break of at least 18 months, the statistical risk dropped to about 0.5 per cent. Women between 20 and 34 did not have this increased risk. On the other hand, the risk of premature birth was even higher in these women if another pregnancy was born very soon.
Short pregnancy interval can be a rational decision.
Despite the increased risk, a short pregnancy break could be a “rational decision”, write researchers Stephanie Teal and Jeanelle Sheeder in a commentary on the study. The age of mothers has increased due to their career opportunities. “Clinicians should understand that women over the age of 35 may want to have more children than recommended or may want to have them earlier.” The risks of getting pregnant 3 months after giving birth would have to be weighed.
The study leaves some questions open.
However, the study leaves questions unanswered: According to the University of British Columbia, the reasons for the complications were not investigated. According to the study, women who became pregnant again after less than six months were also most likely to come from low-income residential areas, were least likely to care about prenatal care and were most likely to smoke during pregnancy.
Especially in young women, the risks of getting pregnant 3 months after giving birth. Close successive pregnancies could indicate that they are unplanned, said co-author Sonia Hernandez-Diaz. “Whether the increased risks are due to our bodies not being able to recover from a timely pregnancy or to factors associated with unplanned pregnancies, such as inadequate prenatal care, does not change the recommendation,” she said.
Access to contraceptives should be made easier after childbirth, she said. Women should avoid unprotected sex with men in the post-natal period. You may also like read, Till which month sex is safe in pregnancy.
Risks of getting pregnant 3 months after giving birth
The earlier a woman becomes pregnant again after the birth of a child, the greater the risks of getting pregnant 3 months after giving birth. This is confirmed by the results of an analysis of almost half a million births over six years.
Said Doctors divided, the mothers with short intervals between two pregnancies into two groups: those who had become pregnant again as early as six to twelve months after the birth (2.2% of the births) and those who did so between one year and 18 months (10.7% of the births). Births among women who had become pregnant again after less than 3 months after giving birth were so rare that they were not taken into account.
More than 53% of the births of mothers who became pregnant again within a year were premature births. And these were before the 39th week of pregnancy. This means that the risk of premature birth is three times higher for women with a birth gap of less than one year than for women who take their time with further family growth.
DeFranco and her colleagues defined as a comparison group those mothers who had become pregnant again only after more than 18 months. This was by far the largest proportion of births, 87%, and they were not at risk of premature birth.
The situation was particularly striking in African-American pregnant women, who already have an increased risk of premature birth. According to the study, they became pregnant again much faster after giving birth.
The US government has launched the Healthy People 2020 initiative, which also calls for a 10% reduction in pregnancies that occur too quickly in succession to reduce the proportion of premature births. In the USA, almost 12% of all children are born prematurely, in Germany the figure is 9% and in Switzerland 7.4%.
New pregnancy shortly after birth – Risks of getting pregnant 3 months after giving birth
Question: Not quite three months ago, I gave birth to a healthy girl – a child of my dreams. In the meantime, however, I am already pregnant again, because unfortunately there was a small accident with the condom. As I am still breastfeeding, I didn’t see it that close at that time, but of course, I would like to have this child too, but I am very worried whether it will be healthy. With my gynecologist, I can unfortunately not talk about my fears so well. Is there a danger that the child is ill or is born too early? Can I breastfeed my baby now? Are there any other risks?
Answer: It is certainly surprising if you become pregnant again after such a short time. Unfortunately, breastfeeding is not safe protection against a new pregnancy. Since your body has already changed back to such an extent that ovulation has occurred, it seems to be ready for a new pregnancy.
More on the subject: Contraception after birth
Of course, such short pregnancies put a lot of strain on the body, which is why it is certainly advisable to rest and shift down a gear as often as possible with the baby at home.
As far as breastfeeding is concerned, you should listen inside yourself. Especially during early pregnancy, you often feel tired, which can be further intensified by breastfeeding. If you have the feeling that it is getting too much for you, you should stop breastfeeding.
This is, of course, also a chance for your child. Sometimes it takes longer for him to accept bottle feeding. You may be able to slow down breastfeeding because for such a small baby, withdrawing the mother’s breast is also the first step away from the mother. As long as there are no contractions, breastfeeding will not harm the unborn baby.
It may be advisable to take additional multivitamin preparations and iron so that your body does not have to “overexploit” itself so much. You should also make sure that you have a sufficient supply of calcium and magnesium etc.
Concerning possible malformations or other diseases, no information can be given. For your reassurance, you should certainly take advantage of the preventive examinations, including ultrasound for organ screening in the 20/22nd SSW. It is also not necessary for the child to be born earlier.
However, the burden that is placed on you should not be underestimated. In this case, it is important to seek help from others, i.e. from grandmothers and grandpas, aunts and uncles and of course, from the father. In this way, your burdens can be distributed somewhat, and you have the opportunity to take a breath in between. The same applies, of course, to get up at night, if your little baby is still demanding this at the moment.
Not much can be said about the exact outcome of the pregnancy. However, there are women who, after an unproblematic course of pregnancy, give birth to two children within one year. The period after the second delivery naturally places even greater demands on you. That is why it is certainly a good idea to start asking for help from others soon. This can make your future life with two very small children easier.