{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T09:17:41Z","timestamp":1780996661196,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,9,16]],"date-time":"2015-09-16T00:00:00Z","timestamp":1442361600000},"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":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>A historic cohort study was conducted to evaluate satisfaction with childbirth of a macrosomic baby according to mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>All 559 nulliparous women who delivered a neonate weighing &gt;4000 g between 2008 and 2012 were included. The degree of women's satisfaction with childbirth after elective cesarean, vaginal delivery or cesarean during labor was assessed using a five\u2010level scale. Immediate neonatal and maternal outcomes were retrieved from clinical records. Long\u2010term maternal outcomes were evaluated using four questionnaires on urinary incontinence, anal incontinence, and sexual functioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010nine women underwent elective cesarean, whereas 460 attempted a vaginal delivery. In the latter group, 276 women delivered vaginally, whereas 184 underwent a cesarean during labor. Long\u2010term outcomes were assessed in 273 women (49%; elective cesarean, <jats:italic>n<\/jats:italic> = 55; vaginal delivery, <jats:italic>n<\/jats:italic> = 135; cesarean in labor, <jats:italic>n<\/jats:italic> = 83) after a mean 3\u2010year follow up. The proportion of long\u2010term stress or mixed urinary incontinence was, respectively, 8%, 34%, and 12%, whereas that of anal incontinence was 7%, 19%, and 6%. Sexual functioning was similar in the three groups. No major neonatal complications were observed. When pooling the vaginal delivery and the cesarean in labor groups, the likelihood of being satisfied with childbirth was 63% in the \u201cattempted vaginal delivery\u201d group and 85% in the elective cesarean group (adjusted risk ratio, 0.72; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.61\u20130.84).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>About one\u2010third of women attempting a vaginal delivery of a macrosomic baby, would choose an elective cesarean if they could turn back time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12723","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T16:52:49Z","timestamp":1438879969000},"page":"1235-1244","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Historic cohort study on mode of delivery of a macrosomic baby: the women's point of view"],"prefix":"10.1111","volume":"94","author":[{"given":"Paolo","family":"Vercellini","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Fumagalli","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Department of Clinical Science and Community Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Consonni","sequence":"additional","affiliation":[{"name":"Epidemiology Unit Department of Preventive Medicine University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucrezia","family":"de Braud","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giussy","family":"Barbara","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Iurlaro","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Mosca","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Department of Clinical Science and Community Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Fedele","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Milan and Foundation Institute for Treatment and Research (IRCCS Ca\u2019 Granda) \u2013 Hospital Maggiore Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,16]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"158","article-title":"Macrosomia\u2010maternal characteristics and infant complications","volume":"66","author":"Spellacy WN","year":"1985","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080003229.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00045-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00545.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340801899289"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016341003686099"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01412.x"},{"key":"e_1_2_8_9_1","unstructured":"BoldriniR Di CesareM TamburiniC.Dipartimento della Qualit\u00e0 Direzione Generale del Sistema Informativo Ufficio di Direzione Statistica. 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