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Fri, Dec 7, 2007 (Reuters Health) - Women are less likely to bear another child following a cesarean delivery than after a normal vaginal birth, Norwegian researchers found in a study. However, they also found evidence that lower fertility after a c-section is "probably to a large degree voluntary and not related to the indication, nor to any physical consequence, of the cesarean delivery."
Dr. Mette C. Tollanes at the University of Bergen and associates analyzed data on 596,000 healthy women who delivered their first child during 1967-1996 and were followed up through 2003. They excluded women with multiple pregnancies, women whose partner changed between pregnancies, and those who died before age 50.
Delivery by Cesarean section was associated with a significantly reduced probability of a second birth in comparison to vaginal deliveries, Tollanes and colleagues report in this month's issue of Obstetrics and Gynecology.
However, if the child was stillborn or died during the first year, cesarean delivery was no longer associated with a lower likelihood of having a second child. This suggests that c-section per se does not reduce fertility, but that it is associated with choosing to have fewer children.
The research team notes that cesareans are still increasing in many developed countries. "In a country such as the United States, where the cesarean delivery rate in 2004 was almost twice as high as in Norway (29.1 percent compared with 15.4 percent), cesarean delivery could have a substantial overall effect on reducing fertility," they add.[/b]
That's very interesting!! Well, I remember before Addison was born I was thinking that if I had to have another c/section, Addison may be my last baby....but if I got my VBAC I wanted definitely one more, maybe 2 more!!!
If I ever have to have another c/section, I will be done for good.
My second one was nowhere near as bad as my first. I also didn't labor for 3 days. I think I was more emotionally hurt than physically hurt, KWIM? I would like at least 2 more kids, so I hope my future c/s aren't anywhere near as bad as my first!
i absolutely believe that is the case for the moajority of women.
because of the easy recovery and horrible birth experience with ricky, mixed with lack of education and information, i didn't second guess the second cesarean. but after going through it with more normal circumstances and how hard it was to recover after #2, i definitely had to think 2ce about having another child! and now i have told dh, i really do feel in my heart i will be ok with being done having children if i have another cesarean...