title: Fertility after cesarean delivery among Somali-born women resident in the USA.
abstract: We evaluated the reproductive impact of cesarean versus vaginal delivery in Somali immigrants. Data were extracted for 106 Somali women delivering vaginally (64%) or by cesarean section (36%) between 1994 and 2006. Index delivery (vaginal versus cesarean) was compared to the cumulative incidence rate of subsequent deliveries. The incidence rate of a delivery after a vaginal delivery was 3.3% (CI:0-7.8%), 55.4% (CI:40.1-66.8%) and 74.4% (CI:59.0-84.0%) at 1, 2 and 3 years. Cesarean delivery lead to a second delivery incidence rate of 2.9%(95%CI:0-8.2%), 25.9%(95%CI:9.8-39.2%) and 58.1% (95%CI:27.0-72.2%) at 1, 2 and 3 years. Somali women delivering vaginally were 1.56 times (95% CI:0.94-2.57; P = 0.084) more likely to have a subsequent delivery. The likelihood of Somali women having a second child after cesarean section is lower at 2 and 3 year follow-up.
authors.affiliation: Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905, USA. salem.wael@mayo.edu
authors.forename: Wael
authors.initials: W
authors.lastname: Salem
authors.forename: Priscilla
authors.initials: P
authors.lastname: Flynn
authors.forename: Amy
authors.initials: A
authors.lastname: Weaver
authors.forename: Brian
authors.initials: B
authors.lastname: Brost
mesh_terms: D000328:Adult; D001723:Birth Rate / Q000208:ethnology / Q000639:trends; D002585:Cesarean Section / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology* / Q000208:ethnology*; D008485:Medical Audit; D008910:Minnesota / Q000453:epidemiology; D011247:Pregnancy; D012998:Somalia / Q000208:ethnology; D055815:Young Adult