The impact of first birth by cesarean delivery on subsequent reproductive outcomes – a population cohort study.
N.L. PRITCHARD·A.C. LINDQUIST·M.P. GREEN·A.L. Kennedy·S.P. WALKER·A. RODDY MITCHELL·K. STERN·R. HISCOCK·R. HASTIE·B. VOLLENHOVEN·HG Gordon·S. TONG·D. WILKINSON
First birth by cesarean delivery is associated with an 11% reduced likelihood of a second live birth within the twelve-year study period and a 28% increase in the use of assisted reproductive technologies to achieve a second birth. Factors leading to a cesarean delivery may also be associated with subsequent reproductive outcomes and warrant further study.