Observational studyPloS one2021
Surgical complications after caesarean section: A population-based cohort study.
Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Rate of cesarean section among breech deliveries in Ethiopia: a systematic review and meta-analysis.Frontiers in surgery · 2024Pooled it
- Surgical transversus abdominis plane block with liposomal bupivacaine at cesarean: a pilot randomized trial.American journal of obstetrics & gynecology MFM · 2024Trial
- Delivery mode and maternal health conditions before and after childbirth: A population-based cohort study from Estonia.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Investigating the effect of familiarization with wound care after cesarean section through multimedia in reducing wound complications.BMC pregnancy and childbirth · 2026Article
- Maternal complications within six weeks after primary caesarean section in Ghana: a prospective cohort study.BMC pregnancy and childbirth · 2026Article
- Small bowel herniation through a caesarean section wound presenting as cellulitis: A case report.Case reports in women's health · 2026Article
- Maternal morbidity following a trial of labor after cesarean birth: A scoping review of operative vaginal birth compared with cesarean birth in the second stage of labor.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Redefining MTCT prevention strategies toward HBV elimination: Editorial on "Factors associated with hepatitis B mother-to-child transmission in a national prevention program".Clinical and molecular hepatology · 2026Article
- Scars of birth: caesarean delivery and fertility intentions among women of reproductive age in sub-Saharan Africa.Reproductive health · 2026Article
- Article
- Adequacy of pain management and its predictors following cesarean section: a longitudinal data analysis using a generalized estimating equation model.Scientific reports · 2026Article
- "Predictors of failed vaginal birth after cesarean and associated maternal and neonatal outcomes: a case control study".BMC pregnancy and childbirth · 2026Article
- Analysis of Factors Determining the Stiffness and Elasticity of Scars in Women After Cesarean Section-A Pilot Study.Journal of clinical medicine · 2025Article
- Investigating the effect of an educational intervention based on the theory of planned behavior on the choice of delivery method among primiparous women.BMC pregnancy and childbirth · 2025Article
- WHO Safe Surgery Checklist for Cesarean Section (CS) Delivery: Practice and Associated Factors Among Physicians in Rwanda.Public health challenges · 2025Article
- Factors associated with quality of intrapartum care in Kenya: a complex samples analysis of the 2022 Kenya demographic and health survey.BMC pregnancy and childbirth · 2025Article
- Multilevel analysis of quality of intrapartum care and its associated factors: evidence from 35 Sub-Saharan African countries demographic and health survey.Contraception and reproductive medicine · 2025Article
- Musculoskeletal problems and health perceptions of women who applied to the orthopedic clinic after cesarean section.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Burden of Medical Costs Associated with Severe Maternal Morbidity in South Korea.Healthcare (Basel, Switzerland) · 2024Article
- Obstetricians and midwives perspective of the alarming high cesarean section rates in Greece and worldwide.Heliyon · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored.
methodsAltogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only from 2005 through 2016 were identified and compared with a control group of women delivering vaginally only from the same register and the same period of time. By cross-linking data with the National Patient Register the risks for bowel obstruction, incisional hernia and abdominal pain were analysed, as well as risk factors for these complications. We also analysed acute complications, uterine rupture, and placenta praevia.
findingsCaesarean section is associated with an increased risk for bowel obstruction (OR 2.92; CI 2.55-3.34), surgery for bowel obstruction (OR 2.12; CI 1.70-2.65), incisional hernia (OR 2.71; CI 2.46-3.00), surgery for incisional hernia (OR 3.35; CI 2.68-4.18), and abdominal pain (OR 1.41; CI 1.38-1.44). Smoking, obesity, and more than one section delivery added significantly to the risk for these complications.
interpretationCaesarean section is considered a safe procedure, but awareness of the risk for serious complications is important when deciding on mode of delivery. In this study, more than one section, obesity and smoking significantly increased the risk for complications after caesarean section. Prevention of smoking and obesity among fertile women worldwide must continue to be a high priority.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.