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Mode of delivery and future fertility
Author(s) -
HALL M. H.,
CAMPBELL D. M.,
FRASER C.,
LEMON J.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03227.x
Subject(s) - caesarean section , obstetrics , fertility , medicine , miscarriage , childbirth , vaginal delivery , forceps , gynecology , infertility , population , pregnancy , surgery , genetics , environmental health , biology
Summary A cohort of 22 948 women from a stable homogeneous population who gave birth for the first time between 1964 and 1983 were followed up prospectively. Analysis by mode of delivery showed that of those delivered by caesarean section 23·2% fewer had another pregnancy than those who had a spontaneous vaginal delivery. Women delivered by forceps were in an intermediate group. Miscarriage was more common in women who had been delivered by caesarean section. The relative infertility after caesarean section could not be accounted for by early sterilization, was not associated with maternal height or social status, and was only partly attributable to age.