There’s no need for women to wait six months after pregnancy loss before trying for another baby, according to new research.
The World Health Organization recommends women wait at least six months after a miscarriage or abortion before becoming pregnant again, to help avoid complications with the next pregnancy. However, this latest research is calling for a review of the international guidelines for birth spacing after miscarriage or induced abortion.
Dr Gizachew Tessema, from Perth’s Curtin School of Population Health, led the new study which has been published in PLOS Medicine. The researchers investigated more than 49,000 births after miscarriage and almost 24,000 births following abortions in Norway between 2008 and 2016. They looked for any adverse pregnancy outcomes, including preterm birth, large for gestational age babies, preeclampsia and gestational diabetes.
They found that conceiving within three months of a miscarriage or abortion isn’t linked to increased risks of adverse pregnancy outcomes: “…these results suggest that women could attempt pregnancy soon after a previous miscarriage or induced abortion without increasing perinatal health risks,” the research explained.
The researchers say the findings should prompt a review of the current guidelines.
“We believe that our findings are reassuring for women or families who attempt pregnancy soon after a miscarriage or induced abortion without increasing the risk of adverse pregnancy and birth outcomes,” Dr Tessema told The Guardian.
“The upshot is that you can have your children when you like, but there are caveats. Firstly, at least some time is needed to recover from the previous pregnancy. This will vary from person to person, but if I had to pick a number, it’s at least six weeks. Anyone concerned should consult a GP or obstetrician when planning a pregnancy.”
In 2021 Dr Tessema also led research into how long mums should wait between having babies – which WHO suggests is two years.
“We compared approximately 3 million births from 1.2 million women with at least three children and discovered the risk of adverse birth outcomes after an interpregnancy interval of less than six months was no greater than for those born after an 18-23 month interval,” Dr Tessema said.
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