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Mode of delivery and problems in subsequent births : a register-based study from Finland

Hemminki, Elina, Shelley, Julia and Gissler, Mika 2005, Mode of delivery and problems in subsequent births : a register-based study from Finland, American journal of obstetrics and gynecology, vol. 193, no. 1, pp. 169-77, doi: 10.1016/j.ajog.2004.11.007.

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Title Mode of delivery and problems in subsequent births : a register-based study from Finland
Author(s) Hemminki, Elina
Shelley, Julia
Gissler, Mika
Journal name American journal of obstetrics and gynecology
Volume number 193
Issue number 1
Start page 169
End page 77
Total pages 9
Publisher Mosby, Inc.
Place of publication St Louis, MO.
Publication date 2005-07
ISSN 0002-9378
1097-6868
Summary 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.

Language eng
DOI 10.1016/j.ajog.2004.11.007
Field of Research 111402 Obstetrics and Gynaecology
111706 Epidemiology
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30028168

Document type: Journal Article
Collection: School of Health and Social Development
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