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Risk of preterm birth after prior term cesarean
- Source :
- BJOG: An International Journal of Obstetrics and Gynaecology, 127(5), 610-617. Wiley-Blackwell, Visser, L, Slaager, C, Kazemier, B M, Rietveld, A L, Oudijk, M A, de Groot, C J M, Mol, B W & de Boer, M A 2020, ' Risk of preterm birth after prior term cesarean ', BJOG: An International Journal of Obstetrics and Gynaecology, vol. 127, no. 5, pp. 610-617 . https://doi.org/10.1111/1471-0528.16083, BJOG: An International Journal of Obstetrics and Gynaecology, 127(5), 610-617. Wiley Online Library
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- Objective: To determine the risk of overall preterm birth (PTB) and spontaneous PTB in a pregnancy after a caesarean section (CS) at term. Design: Longitudinal linked national cohort study. Setting: The Dutch Perinatal Registry (1999–2009). Population: 268 495 women with two subsequent singleton pregnancies were identified. Methods: A cohort study based on linked registered data from two subsequent pregnancies in the Netherlands. Main outcome measures: The incidence of overall PTB and spontaneous PTB with subgroup analysis on gestational age at first delivery and type of CS (planned or unplanned). Results: Of 268 495 women with a singleton first pregnancy who delivered at term, 15.76% (n = 42 328) had a CS. The incidence of PTB in the second pregnancy was 2.79% (n = 1182) in women with a previous CS versus 2.46% (n = 5570) in women with a previous vaginal delivery (adjusted odds ratio [aOR] 1.14, 95% confidence interval [CI] 1.07–1.21). This increased risk is mainly driven by an increased risk of spontaneous PTB after previous CS at term (aOR 1.50, 95% CI 1.38–1.70). Analysis for type of CS compared with vaginal delivery showed an aOR on spontaneous PTB of 1.86 (95% CI 1.58–2.18) for planned CS and an aOR of 1.40 (95% CI 1.24–1.58) for unplanned CS. Conclusions: CS at term is associated with a marginally increased risk of spontaneous PTB in a subsequent pregnancy. Tweetable abstract: Caesarean section at term is associated with a marginally increased risk of spontaneous PTB in a subsequent pregnancy.
- Subjects :
- Adult
Risk
medicine.medical_specialty
Term Birth
mode of delivery
medicine.medical_treatment
Population
Gestational Age
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Pregnancy
medicine
Humans
spontaneous preterm birth
Caesarean section
Longitudinal Studies
Registries
Risk factor
education
Netherlands
education.field_of_study
030219 obstetrics & reproductive medicine
integumentary system
Cesarean Section
Vaginal delivery
Obstetrics
business.industry
Incidence
preterm birth
Obstetrics and Gynecology
Gestational age
Delivery, Obstetric
medicine.disease
risk factor
Premature Birth
Female
business
Cohort study
Subjects
Details
- ISSN :
- 14710528 and 14700328
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- BJOG: An International Journal of Obstetrics & Gynaecology
- Accession number :
- edsair.doi.dedup.....b51cfdde3932aed80dd7601f3a6fc961