TY - JOUR
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
N1 - Funding Information:
This study was sponsored by a grant from Topnotch Stroke Research Center, Ministry of Education, Taiwan.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
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.
KW - cesarean section
KW - postpartum stroke
KW - stroke
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U2 - 10.1016/j.ajog.2007.10.789
DO - 10.1016/j.ajog.2007.10.789
M3 - Article
C2 - 18279835
AN - SCOPUS:41449083642
VL - 198
SP - 391.e1-391.e7
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 4
ER -