Long-term effects of cesarean sections: Ectopic pregnancies and placental problems

Hemminki, Elina; Meriläinen, Jouni

doi:10.1016/s0002-9378(96)70608-7

Cited by 225 publications

(136 citation statements)

References 17 publications

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“…Furthermore, previous caesarean delivery is also known to be associated with an increased risk of abnormal placentation leading to abruption, placenta praevia, and morbid adherence of the placenta. [8][9][10] Stillbirth is associated with a high resistance pattern of uterine artery and umbilical artery blood flow, which may indicate maldevelopment of the villous tree. [32][33][34] The association between previous caesarean and stillbirth might be, therefore, another manifestation of abnormal placentation caused by a uterine scar.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Studies on the effects of previous caesarean section on future pregnancies have focused mainly on the maternal and fetal risks of scar rupture associated with vaginal birth. 6,7 However, it has also been noted that placental complications, such as abruption and placenta praevia, are more common in women who have previously undergone caesarean section, 8,9 and the association with abruption has been observed in women with no previous history of abruption and is independent of obvious confounders. 10 The effect of previous caesarean delivery on the risk of antepartum perinatal death in subsequent pregnancies is not known.…”

Section: Introductionmentioning

confidence: 99%

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Caesarean section and risk of unexplained stillbirth in subsequent pregnancy

2003

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Glasgow ePrints Servicehttp://eprints.gla.ac.uk SummaryBackground Caesarean section is associated with an increased risk of disorders of placentation in subsequent pregnancies, but effects on the rate of antepartum stillbirth are unknown. We aimed to establish whether previous caesarean delivery is associated with an increased risk of antepartum stillbirth.Methods We linked pregnancy discharge data from the Scottish Morbidity Record (1980-98) and the Scottish Stillbirth and Infant Death Enquiry . We estimated the relative risk of antepartum stillbirth in second pregnancies using timeto-event analyses.Findings For 120 633 singleton second births, there were 68 antepartum stillbirths in 17 754 women previously delivered by caesarean section (2·39 per 10 000 women per week) and 244 in 102 879 women previously delivered vaginally (1·44; p<0·001). Risk of unexplained stillbirth associated with previous caesarean delivery differed significantly with gestational age (p=0·04); the excess risk was apparent from 34 weeks (hazard ratio 2·23 [95% CI 1·48-3·36]). Risk was not attenuated by adjustment for maternal characteristics or outcome of the first pregnancy (2·74 [1·74-4·30]). The absolute risk of unexplained stillbirth at or after 39 weeks' gestation was 1·1 per 1000 women who had had a previous caesarean section and 0·5 per 1000 in those who had not. The difference was due mostly to an excess of unexplained stillbirths among women previously delivered by caesarean section.Interpretation Delivery by caesarean section in the first pregnancy could increase the risk of unexplained stillbirth in the second. In women with one previous caesarean delivery, the risk of unexplained antepartum stillbirth at or after 39 weeks' gestation is about double the risk of stillbirth or neonatal death from intrapartum uterine rupture.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Caesarean section and risk of unexplained stillbirth in subsequent pregnancy

2003

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“…This trend is also partly due to some evidence that suggests that planned caesarean birth might protect against urinary and faecal incontinence, pelvic organ prolapse and sexual dissatisfaction, further increasing its appea 19.…”

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confidence: 99%

Rising rate of cesarean section - a year review

Subedi

2012

J Nobel Med Coll

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“…In addition to the increased expense for surgical delivery [45] there are ethical and medical concerns regarding maternal request c-section (e.g. increased mortality and complications in future pregnancies [46][47][48] or increased risk of respiratory difficulties in newborns [17]). There is also variability in terms of women's access to this option and physicians' willingness to provide elective c-section [49,15] as well as limited evidence that maternal request c-section prevents negative birth experience.…”

Section: Discussionmentioning

confidence: 99%

Fear of Childbirth in Pregnant Women in the United States

Jj¹,

Vrana²

2018

J Pregnancy Reprod

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Objective: The purpose of this investigation was to assess the incidence of serious childbearing fear in a sample of American women, and to explore associations between women's experiences and fear of childbirth. Methods:Ninety women 25 weeks of gestation and later who participated in a prospective longitudinal study were administered questionnaires during pregnancy that included background factors (marital status, education, birth history), fear of childbirth, and current levels of depression and posttraumatic stress disorder symptomology. Results:The incidence of serious fear of childbirth (7.7%) was slightly lower than but consistent with studies of Northern European women. When considered separately, 11.6% of women in the care of an obstetrician and 4% of women in the care of a midwife exhibited serious levels of fear. Greater fear of childbirth was seen in women experiencing sexual assault in both childhood and adulthood but not in women endorsing childhood sexual assault alone. Fear was higher among women with a current diagnosis of depression or co-morbid depression and Posttraumatic Stress Disorder. Conclusion:These results underscore the importance of identifying and treating depression in pregnant women.

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Long-term effects of cesarean sections: Ectopic pregnancies and placental problems

Cited by 225 publications

References 17 publications

Caesarean section and risk of unexplained stillbirth in subsequent pregnancy

Caesarean section and risk of unexplained stillbirth in subsequent pregnancy

Rising rate of cesarean section - a year review

Fear of Childbirth in Pregnant Women in the United States

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