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Association Between Mode of First Delivery and Subsequent Fecundity and Fertility
Author(s) -
Kristen H. Kjerulff,
Ian M. Paul,
Carol S. Weisman,
Marianne M. Hillemeier,
Ming Wang,
Richard S. Legro,
John T. Repke
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.3076
Subject(s) - fecundity , fertility , association (psychology) , demography , medicine , biology , psychology , environmental health , population , sociology , psychotherapist
Key Points Question Is cesarean delivery at first childbirth associated with a lower rate of subsequent conception compared with vaginal delivery? Findings In this cohort study of 2423 women, first childbirth by cesarean delivery was associated with a lower rate of conception after unprotected intercourse when compared with conception rates of women after vaginal delivery. These results remained significant after controlling for relevant covariates. Meaning These findings suggest that women who deliver their first child by cesarean delivery may be less likely to conceive a second child in the 3 years following first delivery than women who deliver their first child vaginally.

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