Children born by planned repeat c-section no worse off than vaginal births after c-sections

Children born by planned repeat c-section no worse off than vaginal births after c-sections

Repeat caesarean sections don't lead to substantially worse long-term health in children compared with vaginal births after caesarean section, according to new research.

Researchers at the University of Aberdeen studied all second births between 1993 and 2007 of children to mothers in Scotland who had previously had a first child born by caesarean section(CS).

The research, published in this week’s PLOS Medicine, is thought to be the first long-term study of birth after repeat caesarean section.

Using available health records, researchers categorised these births into scheduled repeat CS (assumed to be planned) (44.6%), unscheduled repeat CS (22.1%), and vaginal births after caesarean (VBAC) (33.3%).

They then looked for links between type of birth and several health outcomes in children, including obesity at age five years, hospitalisation with asthma, prescription of a salbutamol inhaler (an asthma medication) at age five, hospitalisation with irritable bowel disease, type 1 diabetes, learning disability, cerebral palsy, cancer, and death.

The only consistent difference the researchers found between repeat CS (both scheduled or unscheduled) and VBAC was a slightly higher risk of hospitalisation with asthma in children born by CS. They felt this was not clinically significant, especially as there was no difference in the rate of salbutamol inhaler prescription. They also observed that learning disability and death were more common following unscheduled CS but not scheduled CS compared with VBAC. These risks are likely to be related to the reason for performing the CS, which may include complications arising in labour, or problems with the baby which are detected before labour starts.

While findings here suggest that there are no substantially worse outcomes associated with planned repeat CS births, it is not known whether the births analysed in this study were initially planned to be vaginal or CS. The researchers assumed an intended CS was one that was scheduled ahead of time and performed on the scheduled date, and all other CS were categorized as unplanned and likely represent a mix of emergency CS ahead of a planned CS, and emergency CS after complications during a planned vaginal birth.

Lead author, Dr Mairead Black, a clinical lecturer at the University of Aberdeen, said: “The lack of data on intended (rather than actual) mode of birth limits the direct application of these study findings to clinical practice, but women may be somewhat reassured by the apparent lack of risk to long-term offspring health following planned repeat CS specifically. This study may therefore support the process of planning birth after CS in a way that reflects women’s values and preferences.”

Search News

Browse by Month

2021

  1. Jan
  2. Feb
  3. Mar
  4. Apr
  5. May There are no items to show for May 2021
  6. Jun
  7. Jul
  8. Aug There are no items to show for August 2021
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 2021
  12. Dec There are no items to show for December 2021

2020

  1. Jan There are no items to show for January 2020
  2. Feb There are no items to show for February 2020
  3. Mar There are no items to show for March 2020
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 2020
  12. Dec

2019

  1. Jan
  2. Feb There are no items to show for February 2019
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 2019
  12. Dec

2018

  1. Jan There are no items to show for January 2018
  2. Feb
  3. Mar There are no items to show for March 2018
  4. Apr There are no items to show for April 2018
  5. May
  6. Jun There are no items to show for June 2018
  7. Jul There are no items to show for July 2018
  8. Aug
  9. Sep
  10. Oct
  11. Nov
  12. Dec There are no items to show for December 2018

2016

  1. Jan
  2. Feb There are no items to show for February 2016
  3. Mar
  4. Apr There are no items to show for April 2016
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov
  12. Dec

2015

  1. Jan
  2. Feb
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 2015
  12. Dec

2013

  1. Jan There are no items to show for January 2013
  2. Feb There are no items to show for February 2013
  3. Mar There are no items to show for March 2013
  4. Apr There are no items to show for April 2013
  5. May There are no items to show for May 2013
  6. Jun There are no items to show for June 2013
  7. Jul There are no items to show for July 2013
  8. Aug
  9. Sep There are no items to show for September 2013
  10. Oct There are no items to show for October 2013
  11. Nov There are no items to show for November 2013
  12. Dec There are no items to show for December 2013

2010

  1. Jan There are no items to show for January 2010
  2. Feb There are no items to show for February 2010
  3. Mar There are no items to show for March 2010
  4. Apr There are no items to show for April 2010
  5. May There are no items to show for May 2010
  6. Jun There are no items to show for June 2010
  7. Jul
  8. Aug There are no items to show for August 2010
  9. Sep There are no items to show for September 2010
  10. Oct There are no items to show for October 2010
  11. Nov There are no items to show for November 2010
  12. Dec There are no items to show for December 2010