ArticleBJOG : an international journal of obstetrics and gynaecology2021
Planned mode of birth after previous caesarean section and special educational needs in childhood: a population-based record linkage cohort study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Review
- Health outcomes up to 5 years in children born as a second child after a previous caesarean section in a first pregnancy: a Swedish population-based register study between 1999 and 2015.BMJ paediatrics open · 2025Article
- Characteristics of women who underwent one or more previous cesarean sections according to Nascer no Brasil.Revista de saude publica · 2023Article
- Planned mode of birth after previous cesarean section and risk of undergoing pelvic floor surgery: A Scottish population-based record linkage cohort study.PLoS medicine · 2022Article
- Planned mode of birth after previous cesarean section: A structured review of the evidence on the associated outcomes for women and their children in high-income setting.Frontiers in medicine · 2022Review
- Planned mode of birth after previous caesarean section and special educational needs in childhood: a population-based record linkage cohort study.BJOG : an international journal of obstetrics and gynaecology · 2021Article
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Abstract
objectiveTo investigate the association between planned mode of birth after previous caesarean section and a child's risk of having a record of special educational needs (SENs).
designPopulation-based cohort study.
settingScotland. POPULATION: A cohort of 44 892 singleton children born at term in Scotland between 2002 and 2011 to women with one or more previous caesarean sections.
methodsLinkage of Scottish national health and education data sets.
main outcome measuresAny SENs and specific types of SEN recorded when a child was aged 4-11 years and attending a Scottish primary or special school.
resultsChildren born following planned vaginal birth after previous caesarean (VBAC) compared with elective repeat caesarean section (ERCS) had a similar risk of having a record of any SENs (19.24 versus 17.63%, adjusted risk ratio aRR 1.04, 95% CI 0.99-1.09) or specific types of SEN. There was also little evidence that planned VBAC with or without labour induction compared with ERCS was associated with a child's risk of having a record of any SENs (21.42 versus 17.63%, aRR 1.09, 95% CI 1.01-1.17 and 18.78 versus 17.63%, aRR 1.03, 95% CI 0.98-1.08, respectively) or most types of SEN. However, an increased risk of sensory impairment was seen for planned VBAC with labour induction compared with ERCS (1.18 versus 0.78%, risk difference 0.4%, adjusted odds ratio aOR 1.60, 95% CI 1.09-2.34).
conclusionsThis study provides little evidence of an association between planned mode of birth after previous caesarean and SENs in childhood beyond a small absolute increased risk of sensory impairment seen for planned VBAC with labour induction. This finding may be the result of performing multiple comparisons or residual confounding. The findings provide valuable information to manage and counsel women with previous caesarean section concerning their future birth choices. TWEETABLE ABSTRACT: There is little evidence planned mode of birth after previous caesarean section is associated with special educational needs in childhood.
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