Impact of primary cesarean delivery on the outcomes of subsequent pregnancy

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Chinese Journal of Reproductive Health ›› 2016, Vol. 27 ›› Issue (4) : 321-323.

MA Weibo, SUN Yanhua

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Abstract

Objective The purpose of this study was to explore the impact of primary cesarean delivery on the outcomes of subsequent pregnancy. Methods This prospective survey was conducted on 1218 singleton second pregnant women who registered and delivered from August 2014 to August 2015. Data were retrieved and analyzed from Maternal and Child Health Care Hospital of Shunyi District. Women were divided into two groups: cesarean delivery and vaginal delivery according to the mode of first delivery.Results Compared with the vaginal group, the incidence of postpartum hemorrhage and placenta accrete in the cesarean group was higher (P<0.05). Cesarean delivery increased the risk of respiratory distress syndrome of newborn (RR=2.02, 95% CI: 0.48-8.55).Conclusion Adverse effect associated with primary cesarean section was observed on subsequent pregnancy. It is recommended that indications for cesarean section need to be strictly followed in order to lower the rate of cesarean delivery without medical indications.

Key words

Cesarean delivery / Postpartum hemorrhage / Placenta accrete / Respiratory distress syndrome

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MA Weibo, SUN Yanhua. Impact of primary cesarean delivery on the outcomes of subsequent pregnancy[J]. Chinese Journal of Reproductive Health, 2016, 27(4): 321-323

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