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.
Bibliographical noteFunding Information:
Funding This study was funded by the Mayo Clinic Department of Obstetrics and Gynecology.
Acknowledgments Support for this work was provided by the Department of Obstetrics and Gynecology, Mayo Clinic.
Copyright 2011 Elsevier B.V., All rights reserved.
- Cesarean section