Substantially lower probability of subsequent birth seen for those with severe uterine rupture, cardiac complications<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b>
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MONDAY, Nov. 25, 2024 (HealthDay News) — Women who experience severe maternal morbidity (SMM) in the first birth are less likely to have a subsequent birth, according to a study published online Nov. 25 in the Journal of the American Medical Association<\/em>.<\/p>\n Eleni Tsamantioti, M.D., from the Karolinska Institutet in Stockholm, and colleagues examined the association between SMM in a first birth and the probability of a subsequent birth in a retrospective, population-based cohort study conducted among 1,046,974 women in Sweden with a first birth between 1999 and 2021.<\/p>\n Overall, 3.5 percent of women experienced an SMM condition in their first birth. The researchers found that women with any SMM versus those without SMM in their first delivery had a reduced incidence rate of subsequent birth (136.6 versus 182.4 per 1,000 person-years; adjusted hazard ratio, 0.88). Women with severe uterine rupture, cardiac complications, cerebrovascular accident, and severe mental health conditions had a substantially lower probability of subsequent birth (adjusted hazard ratios, 0.48, 0.49, 0.60, and 0.48, respectively). Familial confounding did not influence the associations, as indicated in sibling analyses.<\/p>\n “Adequate reproductive counseling and improved monitoring and antenatal care are crucial for women with a history of SMM,” the authors write.<\/p>\n One author disclosed ties to the Aixial Group.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n