March 20, 2026 · American journal of obstetrics and gynecology · DOI: 10.1016/j.ajog.2026.03.006

The impact of first birth by cesarean delivery on subsequent reproductive outcomes - a population cohort study

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This study aimed to investigate the impact of having a first birth by cesarean delivery on subsequent reproductive outcomes, specifically the likelihood of a second live birth and the use of assisted reproductive technologies (ART). The findings revealed that women who had their first birth via cesarean were 11% less likely to have a second live birth and showed a 28% increase in the use of IVF or other ART methods for their second birth. The authors suggest that factors leading to cesarean deliveries may influence these reproductive outcomes and require further exploration.

N L Pritchard, R Hiscock, R Hastie, A Roddy Mitchell, B Vollenhoven, K Stern, M P Green, D Wilkinson, S Tong, S P Walker, H G Gordon, A L Kennedy, A C Lindquist

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The impact of first birth by cesarean delivery on subsequent reproductive outcomes - a population cohort study

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