+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Primary mode of delivery and subsequent pregnancy



Primary mode of delivery and subsequent pregnancy



Bjog 112(8): 1061-1065



To investigate the relationship between primary mode of delivery and subsequent pregnancy and to compare the findings with a previous study conducted on an earlier cohort from the same population. Population cohort. Aberdeen City, Scotland. Women who delivered their first singleton child in Aberdeen Maternity Hospital between 1980 and 1997. Population-based data relating to the index and next pregnancy event, if any, were obtained from the Aberdeen Maternity Neonatal Databank. Subsequent pregnancy was compared across the three modes of delivery groups using log rank tests and Cox proportional hazards regression models. First subsequent pregnancy following index delivery. Women who delivered by caesarean section (CS) were less likely to have a subsequent pregnancy compared with those who had a spontaneous vaginal delivery (SVD), hazard ratio = 0.91 (95% CI 0.87, 0.95). This confirmed the findings of a previous study conducted on an earlier cohort of the same population. The median time to next pregnancy following CS was 36.3 months, 31.8 months following instrumental vaginal delivery (IVD) and 30.4 months following SVD. In contrast to the earlier study where women who had an instrumental delivery were found to be an intermediate group, we found no difference in subsequent pregnancy following IVD compared with SVD, HR = 1.0 (95% CI 0.96, 1.03). Following an initial delivery by CS, fewer women went on to have another pregnancy compared with SVD. The incidence of subsequent pregnancy is similar following instrumental and SVD.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050014074

Download citation: RISBibTeXText

PMID: 16045518

DOI: 10.1111/j.1471-0528.2005.00651.x


Related references

Impact of caesarean section on mode of delivery, pregnancy-induced and pregnancy-associated disorders, and complications in the subsequent pregnancy in Germany. German Medical Science 14: Doc06, 2016

Mode of delivery in a subsequent pregnancy following previous instrumental delivery. Journal of Perinatal Medicine 41(3): 283-286, 2013

Previous cesarean delivery: understanding and satisfaction with mode of delivery in a subsequent pregnancy in patients participating in a formal vaginal birth after cesarean counseling program. American Journal of Perinatology 22(4): 217-221, 2005

Impact of maximal cervical dilatation at primary caesarean delivery on mode of delivery in the following pregnancy. Nigerian Postgraduate Medical Journal 10(3): 173-176, 2003

Subsequent obstetric performance related to primary mode of delivery. British Journal of Obstetrics & Gynaecology 106(3): 227-232, 1999

Risk factors for primary and subsequent anal sphincter lacerations: A comparison of cohorts by parity and prior mode of delivery. American Journal of Obstetrics and Gynecology 197(6): 688-9; Author Reply 689, 2007

Risk factors for primary and subsequent anal sphincter lacerations: a comparison of cohorts by parity and prior mode of delivery (vol 197, pg 689, 2007). 2008

Mode of delivery in the next pregnancy in women who had a vaginal delivery in their first pregnancy. Journal of Obstetrics and Gynaecology 24(3): 272-273, 2004

Cesarean delivery in nulliparous women for failed oxytocin-augmented labor: route of delivery in subsequent pregnancy. American Journal of Obstetrics and Gynecology 143(4): 393-397, 1982

Mode of delivery and subsequent fertility. Human Reproduction 29(11): 2569-2574, 2014

Subsequent pregnancy outcomes after first pregnancy with severe preeclampsia and delivery before 34 weeks of gestation. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 42(2): 174-183, 2013

Trends in mode of delivery during 1984-2003: can they be explained by pregnancy and delivery complications?. Bjog 114(7): 855-864, 2007

Pregnancy outcome and mode of delivery after a previous operative vaginal delivery. Obstetrics and Gynecology 114(4): 757-763, 2009

Simultaneous ruptured tubal pregnancy and intra-uterine pregnancy with subsequent delivery of a normal infant. Southern Medical Journal 38: 788, 1945

Mode of delivery and subsequent stress response. Lancet 355(9198): 120, 2000