1) Short interpregnancy intervals (less than 18 months between live births) are associated with increased risks for both mother and baby, including preterm birth, low birthweight, maternal nutritional deficiencies, and complications during future births. 2) Factors that contribute to short spacing include lack of access to and use of family planning services, as well as social and economic pressures. In Nepal, nearly 40% of women have their first birth within a year of marriage. 3) Ensuring access to contraception and counseling on birth spacing can help reduce risks by allowing at least 24 months between pregnancies. This improves maternal health and nutrition as well as baby outcomes.