Search: id:"swepub:oai:DiVA.org:su-123995" >
Mode of delivery an...
Mode of delivery and the probability of subsequent childbearing : a population-based register study
-
- Elvander, Charlotte (author)
- Karolinska Institutet
-
- Dahlberg, Johan, 1978- (author)
- Stockholms universitet,Sociologiska institutionen
-
- Andersson, Gunnar, 1962- (author)
- Stockholms universitet,Sociologiska institutionen
-
show more...
-
- Cnattingius, Sven (author)
- Karolinska Institutet
-
show less...
-
(creator_code:org_t)
- 2014-08-19
- 2015
- English.
-
In: British Journal of Obstetrics and Gynecology. - : Wiley. - 1470-0328 .- 1471-0528. ; 122:12, s. 1593-1600
- Related links:
-
https://urn.kb.se/re...
-
show more...
-
https://doi.org/10.1...
-
http://kipublication...
-
show less...
Abstract
Subject headings
Close
- Objective: To investigate the relationship between mode of first delivery and probability of subsequent childbearing.Design: Population-based study.Setting: Nationwide study in Sweden.Population: A cohort of 771 690 women who delivered their first singleton infant in Sweden between 1992 and 2010.Methods: Using Cox's proportional-hazards regression models, risks of subsequent childbearing were compared across four modes of delivery. Hazard ratios (HRs) were calculated, using 95% confidence intervals (95% CIs).Main outcome measures: Probability of having a second and third child; interpregnancy interval.Results: Compared with women who had a spontaneous vaginal first delivery, women who delivered by vacuum extraction were less likely to have a second pregnancy (HR 0.96, 95% CI 0.95–0.97), and the probabilities of a second childbirth were substantially lower among women with a previous emergency caesarean section (HR 0.85, 95% CI 0.84–0.86) or an elective caesarean section (HR 0.82, 95% CI 0.80–0.83). There were no clinically important differences in the median time between first and second pregnancy by mode of first delivery. Compared with women younger than 30 years of age, older women were more negatively affected by a vacuum extraction with respect to the probability of having a second child. A primary vacuum extraction decreased the probability of having a third child by 4%, but having two consecutive vacuum extraction deliveries did not further alter the probability.Conclusions: A first delivery by vacuum extraction does not reduce the probability of subsequent childbearing to the same extent as a first delivery by emergency or elective caesarean section.
Subject headings
- SAMHÄLLSVETENSKAP -- Sociologi -- Sociologi (hsv//swe)
- SOCIAL SCIENCES -- Sociology -- Sociology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Elective caesarean section
- emergency caesarean section
- mode of delivery
- subsequent childbearing
- vacuum extraction
- sociologisk demografi
- Sociological Demography
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database