The impact of Cesarean section on female fertility: a narrative review

Objective: The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications,...

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Main Authors: Lorenz Hinterleitner, Herbert Kiss, Johannes Ott
Format: Article
Language:English
Published: IMR Press 2021-08-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804125
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author Lorenz Hinterleitner
Herbert Kiss
Johannes Ott
author_facet Lorenz Hinterleitner
Herbert Kiss
Johannes Ott
author_sort Lorenz Hinterleitner
collection DOAJ
description Objective: The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications, including long-term effects. Mechanism: This review focuses on fertility after CS. Evidence suggests that many women who aim to have subsequent children have difficulties becoming pregnant after they have delivered by CS. Findings: There are several causes for subfertility/infertility after CS, including post-Cesarean niches, intraabdominal adhesions, and the preference for a smaller family size, among others. Conclusion: This review provides an overview of the available literature, which supports the conclusion that CS is associated with decreased odds of subsequent pregnancy and live birth.
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spelling doaj.art-a2ec58432c404e05b0b8195a607a8ead2022-12-22T02:11:14ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-08-0148478178610.31083/j.ceog4804125S0390-6663(21)00117-2The impact of Cesarean section on female fertility: a narrative reviewLorenz Hinterleitner0Herbert Kiss1Johannes Ott2Clinical Division of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Obstetrics and Gynecology, Medical University of Vienna, 1090 Vienna, AustriaClinical Division of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, 1090 Vienna, AustriaObjective: The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications, including long-term effects. Mechanism: This review focuses on fertility after CS. Evidence suggests that many women who aim to have subsequent children have difficulties becoming pregnant after they have delivered by CS. Findings: There are several causes for subfertility/infertility after CS, including post-Cesarean niches, intraabdominal adhesions, and the preference for a smaller family size, among others. Conclusion: This review provides an overview of the available literature, which supports the conclusion that CS is associated with decreased odds of subsequent pregnancy and live birth.https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804125cesarean sectionfertilityinfertilitynichefallopian tubesadhesions
spellingShingle Lorenz Hinterleitner
Herbert Kiss
Johannes Ott
The impact of Cesarean section on female fertility: a narrative review
Clinical and Experimental Obstetrics & Gynecology
cesarean section
fertility
infertility
niche
fallopian tubes
adhesions
title The impact of Cesarean section on female fertility: a narrative review
title_full The impact of Cesarean section on female fertility: a narrative review
title_fullStr The impact of Cesarean section on female fertility: a narrative review
title_full_unstemmed The impact of Cesarean section on female fertility: a narrative review
title_short The impact of Cesarean section on female fertility: a narrative review
title_sort impact of cesarean section on female fertility a narrative review
topic cesarean section
fertility
infertility
niche
fallopian tubes
adhesions
url https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804125
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