{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:12:58Z","timestamp":1782166378191,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,9,18]],"date-time":"2014-09-18T00:00:00Z","timestamp":1410998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate associations between mode of delivery and subsequent reproductive outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with term singleton live births from 1987 to 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Denmark, birth registration data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women with a first singleton delivery after 37\u00a0weeks were followed until the end of 2010, from a first birth to include subsequent live births. We used Cox's proportional hazards model stratified by parity to compare the likelihood for subsequent delivery according to mode of delivery at first and later births, estimating maternal age effects and lag time to next delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measure<\/jats:title><jats:p>Likelihood of a subsequent live\u2010born child by previous delivery mode.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 642\u00a0052 women with a first delivery. Compared with women with a non\u2010instrumental vaginal delivery, delivering a child by elective cesarean section implied a 23% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.76\u20130.787) decreased likelihood for subsequent delivery. Emergency cesarean section meant 16% fewer (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.84\u20130.85), and vaginal instrumental delivery 4% fewer subsequent deliveries (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.95\u20130.96). Hazard ratios were largely unchanged after controlling for parity and year of birth. Small age\u2010trends were seen, with hazard ratios affected by maternal age at birth. Delivery mode at first birth affected marginally the time lag until next birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fecundity, measured as likelihood of a successive live\u2010born child, varied with mode of delivery at the first and also subsequent births. A first or later delivery by cesarean section implied decreased likelihood of subsequent delivery compared with women with a first vaginal birth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12469","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T14:55:32Z","timestamp":1408460132000},"page":"1034-1041","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Mode of delivery and subsequent reproductive patterns. 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