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Table 1 Maternal baseline characteristics and the first birth characteristics among women with previous SVD and those with previous CS and non-indicated CS

From: Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study

 

previous SVD (n = 6240)

previous CS (n = 5422)

P- valuea

previous non-indicated CS (n = 1827)

P- valueb

N

%

N

%

 

N

%

Baseline characteristics

 Birth place

  Shanghai

4753

76.2%

3991

73.6%

0.001

1413

77.3%

0.300

  Out of Shanghai

1487

23.8%

1431

26.4%

 

414

22.7%

 

 Race

  Han

6164

98.8%

5353

98.7%

0.791

1812

99.2%

0.158

  Minority

76

1.2%

69

1.3%

 

15

0.8%

 

 Insurance

  Public

4239

67.9%

3376

62.3%

< 0.001

1099

60.2%

< 0.001

  Self-pay

2001

32.1%

2046

37.7%

 

728

39.8%

 

 Marital status

  Married/cohabitating

6158

99.7%

5366

99.5%

0.093

1802

99.3%

0.007

  Not married/cohabitating

17

0.3%

25

0.5%

 

13

0.7%

 

 Age at the second delivery

  <25 years

73

1.2%

39

0.8%

< 0.001

10

0.5%

< 0.001

  25–29 years

1152

18.5%

739

13.6%

 

228

12.5%

 

  30–34 years

3055

48.9%

2727

50.3%

 

917

50.2%

 

  35–39 years

1702

27.3%

1693

31.2%

 

585

32.0%

 

   ≥ 40 years

258

4.1%

224

4.1%

 

87

4.8%

 

 Height (cm)

  <155

222

3.6%

317

5.8%

< 0.001

91

5.0%

0.001

  155–164.9

4013

64.3%

3651

67.4%

 

1206

66.0%

 

  165–174.9

1935

31.0%

1419

26.2%

 

520

28.5%

 

   ≥ 175

70

1.1%

35

0.6%

 

10

0.5%

 

 Maternal BMI (Kg/m2)

  <18.5

550

8.8%

405

7.5%

< 0.001

139

7.6%

< 0.001

  18.5–24.9

5313

85.2%

4530

83.5%

 

1507

82.5%

 

  25–29.9

338

5.4%

423

7.8%

 

155

8.5%

 

   ≥ 30

39

0.6%

64

1.2%

 

26

1.4%

 

 Educational level (years)

   ≤ 9

266

4.4%

205

3.9%

0.042

35

2.0%

< 0.001

  10–12

494

8.2%

469

9.0%

 

130

7.4%

 

  13–15

1205

20.1%

1119

21.6%

 

398

22.5%

 

   ≥ 16

4049

67.3%

3399

65.5%

 

1203

68.1%

 

 Gravidity

   ≤ 2

2984

47.8%

2366

43.6%

< 0.001

825

45.2%

0.045

   ≥ 3

3256

52.2%

3056

56.4%

 

1002

54.8%

 

 Interpregnancy interval (years)

  <1

431

7.0%

88

1.6%

< 0.001

29

1.6%

< 0.001

  1–3

1935

31.2%

1350

25.0%

 

446

24.5%

 

  3–5

1357

21.9%

1521

28.2%

 

540

29.6%

 

  5–10

1816

29.3%

1957

36.2%

 

665

36.5%

 

   ≥ 10

657

10.6%

485

9.0%

 

142

7.8%

 

First birth characteristics

 PIH

  Yes

109

1.7%

103

1.9%

0.538

65

3.6%

< 0.001

  No

6131

98.3%

5319

98.1%

 

1762

96.4%

 

 PE

  Yes

81

1.3%

90

1.7%

0.105

40

2.2%

0.006

  No

6159

98.7%

5332

98.3%

 

1787

97.8%

 

 GDM

  Yes

415

6.7%

378

7.0%

0.492

159

8.7%

0.003

  No

5825

93.3%

5044

93.0%

 

1668

91.3%

 

 Stillbirths

  Yes

61

1.0%

10

0.2%

< 0.001

0

0.0%

< 0.001

  No

6179

99.0%

5412

99.8%

 

1827

100.0%

 

 LBW

  Yes

144

2.3%

144

2.7%

0.227

26

1.4%

0.021

  No

6096

97.7%

5278

97.3%

 

1801

98.6%

 

 Macrosomia

  Yes

279

4.5%

572

10.5%

< 0.001

211

11.5%

< 0.001

  No

5961

95.5%

4850

89.5%

 

1616

88.5%

 

 Preterm delivery

  Yes

266

4.3%

188

3.5%

0.027

16

0.9%

< 0.001

  No

5974

95.7%

5234

96.5%

 

1811

99.1%

 
  1. SVD spontaneous vaginal delivery, CS caesarean section, BMI body mass index, PIH pregnancy-induced hypertension, PE preeclampsia, GDM gestational diabetes mellitus, LBW low birth weight
  2. aComparison between previous CS and previous SVD
  3. bComparison between previous non-indicated CS and previous SVD