Caesarean section and its impact on fertility and time to a subsequent pregnancy in Germany: a database analysis in gynecological practices

Jacob, Louis; Weber, K.; Sechet, I; Macharey, Georg; Kostev, Karel; Ziller, Volker

doi:10.1007/s00404-016-4160-4

Cited by 10 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 However, the effects of a clinical history of CS on fertility and pregnancy outcomes are still under investigation, as reported by studies from Europe and the USA. [5][6][7] Conversely, other experts argued that the clinical and social circumstances that increased CS rates had an impact on reproductive health broader than the CS itself, reducing the effects of CS on future fertility to marginal. 8 The underlying causes of the lower fertility and adverse pregnancy outcomes after a previous CS are still unclear, but they may relate to implantation issues, with increased risk for early pregnancy loss.…”

Section: Introductionmentioning

confidence: 99%

Reproductive and pregnancy outcomes following embryo transfer in women with previous cesarean section: A systematic review and meta‐analysis

Riemma

Franciscis

Torella

et al. 2021

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Reproductive and pregnancy outcomes following embryo transfer in women with previous cesarean section: A systematic review and meta‐analysis

Riemma

Franciscis

Torella

et al. 2021

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…and injury to the fetus are more likely in C-section (8)(9)(10). Also, several studies have reported that C-section is associated with reduced fertility (11). Due to these complications, WHO emphasized that only 10% -15% of deliveries should be undertaken through C-section (12).…”

Section: Introductionmentioning

confidence: 99%

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

et al. 2020

View full text Add to dashboard Cite

Background: Cesarean section (C-section) not only is associated with health risks for both mother and child, but also is costly. C-section rates are on the rise worldwide. In Iran, it is becoming a major challenge for current population policies. Objectives: The current study aimed to investigate the main factors of the tendency to C-section in Iran. Methods: In this cross-sectional study 320 pregnant women admitted to health centers in Lorestan province (west of Iran) in 2019 are included. Participants were selected using the multi-stage cluster sampling technique. Data were collected using a demographic form, the Fear of Pain Questionnaire, and the Knowledge and Attitude about Delivery Methods scale. Descriptive statistics and multivariate logistic regression model were employed to analyze the data using the Stata version 14. Results: 48.44% of participants preferred cesarean delivery. The mean scores of fear of pain in the C-section and vaginal delivery groups were 39.98 ± 8.21 and 36 ± 8.62, respectively, indicating a significant difference (P < 0.001). Level of education of the husband (OR = 2.79), income (OR = 5.9), fear of labor pain (OR = 1.04), history of C-section, and improved attitude toward C-section (P < 0.001) were directly associated with increased tendency to C-section (OR = 0.36); in contrast, female gender of the fetus (OR = 0.36), increased BMI (OR = 0.75), and improved attitude toward vaginal delivery were indirectly associated with women’s tendency to C-section. Conclusions: This study showed that while many pregnant women prefer vaginal delivery, the tendency to C-section in Lorestan province is high, which reveals the need to design and implement effective interventions and programs to reduce unnecessary C-section and promote vaginal delivery. Educating families, especially pregnant women, about the advantages and disadvantages of delivery modes, promoting and using new low pain techniques of vaginal delivery, and increasing women’s participation in childbirth preparation programs are effective measures that can reduce the rate of unnecessary C-section.

show abstract

“…Another study performed by Jacob L et al on 6483 patients in CS group and 6483 in VD group demonstrated that CS is associated with an increased risk of sterility and subsequent infertility in Germany. In this study, they found that CS decreased subsequent pregnancies as polycystic ovary syndrome and deterioration of menstrual cycle did it (16). Gurol-Urganci I et al assessing 1,047,644 first births to low-risk women using routinely collected data found that there is no or only a slight effect for CS on future fertility; they demonstrated that it is due to residual bias in their adjusted results that would lead to an overestimate of the effect of CS on fertility (17).…”

Section: Discussionmentioning

confidence: 57%

First Caesarean Section and Subsequent Infertility

Barati

Jalalabadi

Moramezi

2017

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

show abstract

Caesarean section and its impact on fertility and time to a subsequent pregnancy in Germany: a database analysis in gynecological practices

Abstract: CS is associated with an increased risk of sterility and a decreased number of subsequent pregnancies in Germany.

Cited by 10 publications

References 19 publications

Reproductive and pregnancy outcomes following embryo transfer in women with previous cesarean section: A systematic review and meta‐analysis

Reproductive and pregnancy outcomes following embryo transfer in women with previous cesarean section: A systematic review and meta‐analysis

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

First Caesarean Section and Subsequent Infertility

Contact Info

Product

Resources

About