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Related Experiment Video

Updated: Jul 4, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Cesarean delivery and subsequent pregnancies.

Anne Kjersti Daltveit¹, Mette Christophersen Tollånes, Hege Pihlstrøm

¹Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. anne.daltveit@isf.uib.no

Obstetrics and Gynecology

|June 3, 2008

Summary

Cesarean delivery increases risks for subsequent pregnancies, including preeclampsia and placental issues. However, these risks decrease when women without prior complications are analyzed, emphasizing the importance of obstetric history.

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Area of Science:

Obstetrics and Gynecology
Reproductive Health
Perinatal Medicine

Background:

Cesarean delivery is a common procedure with potential implications for future pregnancies.
Understanding the long-term effects of cesarean delivery on maternal and fetal outcomes is crucial for clinical practice.

Purpose of the Study:

To evaluate the association between cesarean delivery and the risk of complications in subsequent pregnancies.
To determine if the observed risks are influenced by prior pregnancy complications.

Main Methods:

Historical cohort study utilizing the Medical Birth Registry of Norway (1967-2003).
Analysis included women with two or more singleton births and women with three or more singleton births.
Outcomes in second and third pregnancies were compared based on delivery mode in the first pregnancy.

Main Results:

Cesarean delivery at first birth was linked to higher risks of preeclampsia, small for gestational age, placenta previa, placenta accreta, placental abruption, and uterine rupture in the second pregnancy.
Excluding women with complications in their first birth reduced these associated risks.
Risks in third births following repeat cesarean delivery were similar to or lower than those after a single cesarean delivery.

Conclusions:

Cesarean delivery is associated with an elevated risk of complications in subsequent pregnancies.
Accounting for obstetric history, particularly prior complications, provides a less biased assessment of cesarean delivery's effects on future pregnancies.