Abstract

Objective: This study used a population-based dataset to determine whether (compared with vaginal deliveries), cesarean section deliveries increase the risk of postpartum stroke during the 3-, 6-, or 12-month period after delivery. Study Design: This study used 1998-2003 records from the Taiwan National Health Insurance Research Database for 987,010 women with singleton deliveries from 1998-2002. Cox proportional hazard regressions were carried out to compute stroke-free survival rates between the 2 delivery modes. Results: The regression model indicated that, compared with patients who delivered vaginally, the hazard ratio for postpartum stroke among those who delivered by cesarean section was 1.67 times greater within 3 months of delivery (95% CI, 1.29-2.16), was 1.61 times greater within 6 months of delivery (95% CI, 1.31-1.98), and was 1.49 times greater within 12 months of delivery (95% CI, 1.27-1.76). Conclusion: Our data indicates that cesarean section delivery is an independent risk factor for stroke.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume198
Issue number4
DOIs
Publication statusPublished - Apr 2008

Fingerprint

Cesarean Section
Stroke
Postpartum Period
Population
National Health Programs
Taiwan
Survival Rate
Databases
Research

Keywords

  • cesarean section
  • postpartum stroke
  • stroke

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

Cite this

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title = "Increased risk of stroke in patients who undergo Cesarean section delivery: a nationwide population-based study",
abstract = "Objective: This study used a population-based dataset to determine whether (compared with vaginal deliveries), cesarean section deliveries increase the risk of postpartum stroke during the 3-, 6-, or 12-month period after delivery. Study Design: This study used 1998-2003 records from the Taiwan National Health Insurance Research Database for 987,010 women with singleton deliveries from 1998-2002. Cox proportional hazard regressions were carried out to compute stroke-free survival rates between the 2 delivery modes. Results: The regression model indicated that, compared with patients who delivered vaginally, the hazard ratio for postpartum stroke among those who delivered by cesarean section was 1.67 times greater within 3 months of delivery (95{\%} CI, 1.29-2.16), was 1.61 times greater within 6 months of delivery (95{\%} CI, 1.31-1.98), and was 1.49 times greater within 12 months of delivery (95{\%} CI, 1.27-1.76). Conclusion: Our data indicates that cesarean section delivery is an independent risk factor for stroke.",
keywords = "cesarean section, postpartum stroke, stroke",
author = "Shiyng-Yu Lin and Hu, {Chaur Jong} and Lin, {Herng Ching}",
year = "2008",
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language = "English",
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journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
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T1 - Increased risk of stroke in patients who undergo Cesarean section delivery

T2 - a nationwide population-based study

AU - Lin, Shiyng-Yu

AU - Hu, Chaur Jong

AU - Lin, Herng Ching

PY - 2008/4

Y1 - 2008/4

N2 - Objective: This study used a population-based dataset to determine whether (compared with vaginal deliveries), cesarean section deliveries increase the risk of postpartum stroke during the 3-, 6-, or 12-month period after delivery. Study Design: This study used 1998-2003 records from the Taiwan National Health Insurance Research Database for 987,010 women with singleton deliveries from 1998-2002. Cox proportional hazard regressions were carried out to compute stroke-free survival rates between the 2 delivery modes. Results: The regression model indicated that, compared with patients who delivered vaginally, the hazard ratio for postpartum stroke among those who delivered by cesarean section was 1.67 times greater within 3 months of delivery (95% CI, 1.29-2.16), was 1.61 times greater within 6 months of delivery (95% CI, 1.31-1.98), and was 1.49 times greater within 12 months of delivery (95% CI, 1.27-1.76). Conclusion: Our data indicates that cesarean section delivery is an independent risk factor for stroke.

AB - Objective: This study used a population-based dataset to determine whether (compared with vaginal deliveries), cesarean section deliveries increase the risk of postpartum stroke during the 3-, 6-, or 12-month period after delivery. Study Design: This study used 1998-2003 records from the Taiwan National Health Insurance Research Database for 987,010 women with singleton deliveries from 1998-2002. Cox proportional hazard regressions were carried out to compute stroke-free survival rates between the 2 delivery modes. Results: The regression model indicated that, compared with patients who delivered vaginally, the hazard ratio for postpartum stroke among those who delivered by cesarean section was 1.67 times greater within 3 months of delivery (95% CI, 1.29-2.16), was 1.61 times greater within 6 months of delivery (95% CI, 1.31-1.98), and was 1.49 times greater within 12 months of delivery (95% CI, 1.27-1.76). Conclusion: Our data indicates that cesarean section delivery is an independent risk factor for stroke.

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KW - postpartum stroke

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