Fertility After Cesarean Delivery Among Somali-Born Women Resident in the USA
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We evaluated the reproductive impact of cesarean versus vaginal delivery in Somali immigrants. Data were extracted for 106 Somali women delivering vaginally (64%) or by cesarean section (36%) between 1994 and 2006. Index delivery (vaginal versus cesarean) was compared to the cumulative incidence rate of subsequent deliveries. The incidence rate of a delivery after a vaginal delivery was 3.3% (CI:0–7.8%), 55.4% (CI:40.1–66.8%) and 74.4% (CI:59.0–84.0%) at 1, 2 and 3 years. Cesarean delivery lead to a second delivery incidence rate of 2.9%(95%CI:0–8.2%), 25.9%(95%CI:9.8–39.2%) and 58.1% (95%CI:27.0–72.2%) at 1, 2 and 3 years. Somali women delivering vaginally were 1.56 times (95% CI:0.94–2.57; P = 0.084) more likely to have a subsequent delivery. The likelihood of Somali women having a second child after cesarean section is lower at 2 and 3 year follow-up.
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- Fertility After Cesarean Delivery Among Somali-Born Women Resident in the USA
Journal of Immigrant and Minority Health
Volume 13, Issue 3 , pp 494-499
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- Springer US
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- Cesarean section
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- Author Affiliations
- 1. Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN, 55905, USA
- 2. Office of Women’s Health, 200 First Street S.W., Rochester, MN, 55905, USA
- 3. Department of Biomedical Statistics and Bioinformatics, Mayo Clinic, Rochester, MN, 55905, USA
- 4. Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN, 55905, USA