Journal Basic Info

  • Impact Factor: 0.285**
  • H-Index: 6
  • ISSN: 2638-4558
  • DOI: 10.25107/2638-4558
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Surgical
  •  Physical Medicine & Rehabilitation
  •  Radiation Oncology
  •  Transplantation Medicine
  •  Otolaryngology
  •  Orthopedic Sugery
  •  Molecular Biology
  •  Dermatology and Cosmetology


Citation: Clin Case Rep Int. 2023;7(1):1509.DOI: 10.25107/2638-4558.1509

Influence of Previous Cesarean Section on Subsequent Pregnancy Complications in Hunan, China: A Retrospective Cohort Study

Owusua T, Liu M, Huang C, Hu H, Lu J and Qin C

Catholic University of Ghana, Fiapre, Ghana
Department of Health and Nursing Management, The Third Xiangya Hospital of Central South University, China
School of Nursing, Central South University, Hunan, China

*Correspondance to: Theresah Owusua 

 PDF  Full Text Research Article | Open Access


Aim: Under the introduction of the two-child policy, women with second pregnancies having a previous cesarean section have suddenly increased. The two-child policy has provided a new chance for studying the previous cesarean section, which is considered a new medical risk in China. This study aimed to examine the previous cesarean sections influence on pregnancy complications among women with singleton delivery in their second pregnancies. Method: A total of 2018 eligible women with second pregnancies who had a singleton delivery from January 2015 to October 2017 were studied retrospectively. Data on the previous delivery mode for the first pregnancy, maternal characteristics and pregnancy complications for the second pregnancy were obtained from the electronic medical records. Chi-square test was used to describe and obtain the significant maternal characteristics according to the previous mode of delivery. The pregnancy complications associated with previous cesarean section was analyzed with binary logistic regression. Results: Of 2018 eligible women with singleton delivery in their second pregnancy, 942 (46.7%) had a previous cesarean section (study group) while 1076 (53.3%) also had a previous vaginal delivery (reference group). Previous cesarean section had an increase risk on the following pregnancy complications; Gestational Diabetes Mellitus (GDM) (Adjusted Odds Ratio [aOR]: 1.438; 95% CI, 1.093-1.894), fetal anomaly (aOR: 14.258; 95% CI, 4.213-48.248), and placenta previa (aOR: 2.890; 95% CI, 1.623-5.148). Conclusion: This study demonstrates that the previous cesarean section is associated with increased risk of GDM, fetal anomaly and placenta previa on second singleton pregnancy after the implementation of the universal two-child policy in China.


Cesarean section; China; Pregnancy complications; Second pregnancy; Two-child policy

Cite the Article:

Owusua T, Liu M, Huang C, Hu H, Lu J, Qin C. Influence of Previous Cesarean Section on Subsequent Pregnancy Complications in Hunan, China: A Retrospective Cohort Study. Clin Case Rep Int. 2023; 7: 1509.

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