Document Detail

Mode of delivery and problems in subsequent births: a register-based study from Finland.
MedLine Citation:
PMID:  16021075     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to investigate the effects of delivery on problems in subsequent births. STUDY DESIGN: This was a cohort study that used register data for 73,104 mothers who had their first birth from 1987 to 1989 and subsequent births from 1987 to1998. Three analyses were performed: (1) examination of second births by mode of delivery in the first birth, with adjustment for confounders, (2) same parameter, with exclusion of women with persistent problems, and (3) examination of third births for women with a first birth vaginal delivery. RESULTS: More complications and poorer infant outcome were found at later births when the first or second birth was by cesarean delivery than after a first spontaneous vaginal delivery, even when women with persistent problems were excluded. Women with instrument first births had a similar rate of complications in the second birth to women with spontaneous vaginal births, but some infant outcomes were poorer. CONCLUSION: Problems that are subsequent to cesarean delivery are unlikely to be explained entirely by indications for cesarean delivery.
Elina Hemminki; Julia Shelley; Mika Gissler
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  193     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-15     Completed Date:  2005-08-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  169-77     Citation Subset:  AIM; IM    
National Research and Development Centre for Welfare and Health, Health Services Research, Helsinki, Finland.
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MeSH Terms
Cesarean Section / adverse effects
Cohort Studies
Delivery, Obstetric / adverse effects*,  methods*
Extraction, Obstetrical / adverse effects
Pregnancy Complications / etiology*
Pregnancy Outcome*

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