Caesarean section and impact on fertility in subsequent pregnancies in Germany: a database analysis in gynecological practices

Purpose: To analyze the impact of caesarean section (CS) on complication risks during subsequent pregnancy in German gynecological practices. Methods: Women initially diagnosed for the first time with a vaginal delivery (VD) or CS between 2000 and 2013 were identified by 227 gynecologists in the IMS Disease Analyzer database. They were included if they were aged between 16 and 40 years, and were not previously diagnosed with female infertility. The two main outcomes were the first-time diagnose of female infertility and the time between the first delivery to the next pregnancy within 10 years. A multivariate Cox…