LAGOS, NIGERIA — Leading specialists in Obstetrics and Gynaecology have raised concerns over the growing trend of closely spaced pregnancies, warning that it significantly increases health risks for both mothers and newborns.
Medical experts say the practice, often referred to as “two-under-two,” where women have children within a short interval, is becoming more common despite its associated dangers.
According to the specialists, insufficient recovery time between pregnancies places strain on a woman’s body, reducing its ability to regain essential nutrients and strength needed for a healthy subsequent pregnancy.
They explained that this pattern has been linked to serious complications, including maternal death, stillbirth, preterm birth, and low birth weight in infants.
Healthcare professionals also highlighted increased risks of anaemia, uterine rupture, and postpartum depression, particularly in cases where pregnancies occur without adequate medical supervision or recovery time.
The warning comes amid broader concerns about maternal and child health outcomes in Nigeria, where access to quality healthcare services remains uneven across regions.
Experts emphasised that proper birth spacing is a critical component of reproductive health, allowing women sufficient time to recover physically and emotionally before conceiving again.
They recommended that families consider spacing pregnancies by at least 18 to 24 months, in line with global health guidelines, to reduce the risk of complications.
Medical practitioners also stressed the importance of regular antenatal care, which helps monitor the health of both mother and baby and identify potential risks early.
They noted that awareness about family planning options remains low in some communities, contributing to the persistence of closely spaced pregnancies.
Socioeconomic factors, cultural expectations, and limited access to reproductive health services have also been identified as contributing factors influencing family size and pregnancy timing.
The experts called on government authorities and health institutions to intensify public education campaigns on safe motherhood practices and the benefits of birth spacing.
They also urged increased investment in maternal healthcare infrastructure to ensure that women have access to skilled care before, during, and after pregnancy.
In addition, they advocated for improved access to family planning services, including counselling and contraceptive options, to support informed decision-making among couples.
Public health analysts warn that without adequate intervention, the continued rise in closely spaced pregnancies could further strain the healthcare system and worsen maternal and infant mortality rates.
Community leaders and healthcare workers have also been encouraged to play active roles in promoting awareness and supporting women in making safe reproductive choices.
As the conversation around maternal health continues, experts maintain that prioritising birth spacing and access to care will be essential in improving outcomes for mothers and children across Nigeria.
