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Journal of Pregnancy
Volume 2011, Article ID 362518, 5 pages
http://dx.doi.org/10.1155/2011/362518
Research Article

Prelabour Caesarean Section following IVF/ICSI in Older-Term Nulliparous Women: Too Precious to Push?

1Department of Obstetrics & Gynaecology, University Hospital, Vrije Universiteit (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium
2The Flemish Centre for the Study of Perinatal Epidemiology (SPE), Hallepoortlaan 27 B, 1060 Brussels, Belgium

Received 14 July 2011; Accepted 15 August 2011

Academic Editor: Jacob Bar

Copyright © 2011 E. Gillet et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To compare prelabour caesarean section (CS) rates in older nulliparous women with a term singleton baby in cephalic presentation conceiving spontaneously and through IVF/ICSI. When the latter women would ask for CS, how willing are gynaecologists to comply with that request? Methods. A population-based retrospective (1995–2009) cohort study, conducted in Northern Belgium. A comparison of 1,866 nulliparous women pregnant after IVF/ICSI and 15,228 controls is made. An anonymous postal questionnaire is sent to all Belgian gynaecologists. Result. Both groups are comparable with respect to maternal age, gestational age, and birth weight. Prelabour CS is more often performed in women who conceived through IVF/ICSI compared to those who conceived spontaneously (9.2% versus 6.3%, ). One in five gynaecologists agrees with the maternal request. Conclusion. IVF/ICSI pregnancies in older nulliparous women more often end in a prelabour CS and a substantial number of gynaecologists go along with a nonmedical reason for CS.