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The intergenerational predisposition to operative delivery

M W Varner1, A M Fraser, C Y Hunter

  • 1Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, USA.

Obstetrics and Gynecology
|June 1, 1996
PubMed
Summary
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Women born via operative delivery face a higher risk of cesarean birth. This intergenerational link suggests a predisposition to cesarean delivery, impacting future birth outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Health
  • Epidemiology

Background:

  • Previous operative delivery in mothers is a known risk factor for cesarean birth in offspring.
  • Understanding intergenerational trends in operative delivery is crucial for obstetric practice.

Purpose of the Study:

  • To investigate the association between a mother's own birth delivery mode and her subsequent risk of cesarean delivery.
  • To quantify the risk of cesarean delivery for women whose mothers had an operative birth.

Main Methods:

  • A linked database was created using Utah birth certificates from 1947-1991.
  • Women with operative births (cesarean, forceps) were matched with controls who had spontaneous vaginal deliveries.
  • Analysis focused on women who became mothers within the study period.

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Main Results:

  • Women delivered via cesarean had a 1.41-fold increased risk of subsequent cesarean delivery.
  • Higher risks were observed for forceps deliveries (OR 1.72) and cesareans due to cephalopelvic disproportion (OR 1.83) or dysfunctional labor (OR 5.97).
  • The attributable risk for cesarean delivery in the population was 3.5%.

Conclusions:

  • Evidence supports an intergenerational predisposition to cesarean delivery.
  • Maternal birth history is a significant factor influencing offspring delivery mode.