Does previous caesarean section at full dilatation increase the likelihood of subsequent spontaneous preterm birth?

Background There is emerging evidence that caesarean section at full dilatation is associated with an increased risk of subsequent spontaneous preterm birth. Aim To investigate the association between caesarean section at full dilatation and spontaneous preterm birth in subsequent pregnancies. Mater...

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Bibliographic Details
Published in:Australian & New Zealand journal of obstetrics & gynaecology 2018-06, Vol.58 (3), p.267-273
Main Authors: Cong, Angela, Vries, Bradley, Ludlow, Joanne
Format: Article
Language:English
Subjects:
Adult
caesarean section
Cesarean Section - statistics & numerical data
Cohort Studies
Female
full dilatation
Gestational Age
Humans
Labor Stage, First
New South Wales - epidemiology
Pregnancy
Pregnancy Outcome
Retrospective Studies
second stage
spontaneous preterm birth
Vaginal Birth after Cesarean - statistics & numerical data
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Summary:Background There is emerging evidence that caesarean section at full dilatation is associated with an increased risk of subsequent spontaneous preterm birth. Aim To investigate the association between caesarean section at full dilatation and spontaneous preterm birth in subsequent pregnancies. Materials and methods This was a retrospective cohort study of women who had two consecutive births at Royal Prince Alfred Hospital, 1989–2015. Our main comparison group was women who had emergency caesarean sections during the first stage of labour. Secondary comparison groups were women who had elective caesarean sections, instrumental deliveries and unassisted vaginal deliveries. The primary outcome was spontaneous preterm birth (
ISSN:0004-8666
1479-828X
DOI:10.1111/ajo.12713