ArticleBJOG : an international journal of obstetrics and gynaecology2022
Caesarean birth in women with infertility: population-based cohort study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Increased risk of congenital anomalies after fertility treatment is partially mediated by multiple birth: a population-based cohort study.Human reproduction (Oxford, England) · 2026Article
- Infertility and Risk of Congenital Anomalies: A Population-Based Cohort Study.Paediatric and perinatal epidemiology · 2026Article
- Hysterectomy for placenta accreta spectrum disorder: Impact of institutional surgical volume on patient outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Diagnosed Polycystic Ovary Syndrome and Associated Severe Maternal Morbidity.Gynecologic and obstetric investigation · 2026Article
- The Association Between Infertility Treatment and Birth Outcomes for Nulliparous Persons Who Gave Birth 35 Years and Older: Findings from 2022 National Vital Statistics System Natality Data.Maternal and child health journal · 2025Article
- Ensuring Quality by a Clinical Audit of the Mode of Birth: The Use of the Robson Classification System.Cureus · 2025Article
- Association between infertility and incident onset of systemic autoimmune rheumatic disease after childbirth: a population-based cohort study.Human reproduction (Oxford, England) · 2025Article
- Multifetal Pregnancy After Implementation of a Publicly Funded Fertility Program.JAMA network open · 2024Article
- The risk of perinatal and cardiometabolic complications in pregnancies conceived by medically assisted reproduction.Journal of assisted reproduction and genetics · 2024Article
- Is There a Cumulative Effect for Congenital Heart Defects in Monochorionic Twins after Assisted Reproduction? - A Retrospective Analysis at a Tertiary Referral Center.Geburtshilfe und Frauenheilkunde · 2024Article
- Infertility and Risk of Autism Spectrum Disorder in Children.JAMA network open · 2023Article
- Study protocol for a Developmental Epidemiological Study of Children born through Reproductive Technologies (DESCRT).Human reproduction open · 2023Review
- ART outcome after euploid frozen embryo transfer is not affected by previous Cesarean section delivery in the absence of intracavitary fluid.Journal of assisted reproduction and genetics · 2022Article
- Attention-deficit hyperactivity disorder in children born to mothers with infertility: a population-based cohort study.Human reproduction (Oxford, England) · 2022Article
- Caesarean birth in women with infertility: population-based cohort study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
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8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveCaesarean section (CS) is more common following infertility treatment (IT) but the reasons why remain unclear and confounded. The Robson 10-Group Classification System (TGCS) may further explain variation in CS rates. We assessed the association between mode of conception and CS across Robson groups.
designPopulation-based cohort study.
settingOntario, Canada, in a public healthcare system. POPULATION: 921 023 births, 2006-2014.
methodsModified Poisson regression produced relative risks (RR) and 95% confidence intervals, comparing the risk of CS among women with (1) subfertility without IT, (2) non-invasive IT (OI, IUI) or (3) invasive IT (IVF)-each relative to (4) spontaneous conception (SC).
main outcome measuresCS rate according to one of four modes of conception, overall and stratified by each of the TGCS groups.
resultsRelative to SC (26.9%), the risk of CS increased in those with subfertility without IT (RR 1.17, 95% CI 1.16-1.18), non-invasive IT (RR 1.21, 95% CI 1.18-1.24) and invasive IT (RR 1.39, 95% CI 1.36-1.42). Within each Robson group, similar patterns of RRs were seen, but with markedly differing rates. For example, in Group 1 (nulliparous, singleton, cephalic at ≥37 weeks, with spontaneous labour), the respective rates were 15.0, 19.4, 18.7 and 21.9%; in Group 2 (nulliparous, singleton, cephalic at ≥37 weeks, without spontaneous labour), the rates were 35.9, 44.4, 43.2 and 54.1%; and in Group 8 (multiple pregnancy), they were 55.9, 67.5, 65.0 and 69.3%, respectively.
conclusionsCS is relatively more common in women with subfertility and those receiving IT, an effect that persists across Robson groups. TWEETABLE ABSTRACT: Caesarean delivery is more common in women with infertility independent of demographics and prenatal conditions.
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