Table 2.
Perinatal outcomes | Birth order | Fertility status at first birth | p value | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Fertile | Subfertile | ART | Within groups | ||||||||
F-F | F-S | F-A | S-S | S-A | A-S | A-A | Fertile | Subfertile | ART | ||
N (pairs) | 56,755 | 249 | 380 | 787 | 105 | 635 | 853 | ||||
Preeclampsia (%) | First birth | 1.2 | 0.8 | 0.5 | 1.5 | 4.8 | 1.4 | 1.6 | 0.44 | 0.02 | 0.73 |
Second birth | 0.7 | 0.8 | 1.1 | 1.9 | 1.0 | 0.5 | 1.3 | 0.64 | 0.49 | 0.11 | |
Gestational diabetes (%) | First birth | 4.1 | 2.8 | 3.7 | 8.1 | 3.8 | 6.5 | 6.5 | 0.53 | 0.12 | 0.99 |
Second birth | 5.2 | 6.8 | 7.4 | 7.1 | 3.8 | 6.0 | 7.2 | 0.08 | 0.20 | 0.37 | |
Abruptio placenta or placenta previa (%) | First birth | 1.4 | 1.6 | 1.8 | 3.2 | 1.9 | 6.6 | 4.3 | 0.70 | 0.47 | 0.05 |
Second birth | 1.6 | 1.6 | 4.7 | 1.7 | 4.8 | 2.4 | 5.0 | <0.0001 | 0.03 | 0.008 | |
Primary cesarean birth (%) | First birth | 30.2 | 37.8 | 42.9 | 39.4 | 45.7 | 44.3 | 39.9 | <0.0001 | 0.21 | 0.09 |
Second birtha | 8.1 | 10.3 | 15.3 | 10.7 | 14.0 | 9.6 | 14.4 | 0.0003 | 0.45 | 0.03 | |
Repeat cesarean birth (%) | Second birthb | 79.4 | 87.2 | 82.8 | 82.6 | 83.3 | 79.0 | 85.3 | 0.10 | 0.90 | 0.04 |
Infant gender (% male) | First birth | 51.5 | 46.2 | 53.4 | 50.8 | 49.5 | 55.1 | 51.9 | 0.19 | 0.80 | 0.22 |
Second birth | 51.3 | 45.4 | 49.2 | 51.2 | 49.5 | 52.3 | 51.6 | 0.13 | 0.75 | 0.79 | |
Preterm birth (%) | First birth | 6.4 | 10.0 | 6.3 | 7.5 | 8.6 | 9.8 | 10.0 | 0.07 | 0.70 | 0.90 |
Second birth | 4.6 | 8.0 | 8.2 | 4.7 | 6.7 | 4.7 | 9.3 | 0.0002 | 0.38 | 0.0009 | |
Low birthweight (%) | First birth | 5.6 | 6.8 | 6.1 | 6.4 | 10.5 | 7.2 | 7.9 | 0.62 | 0.12 | 0.66 |
Second birth | 3.3 | 5.6 | 6.1 | 3.1 | 7.6 | 1.4 | 6.7 | 0.002 | 0.02 | <0.0001 | |
Small-for-gestation (%) birthweight Z score ≤−1.28 | First birth | 9.7 | 9.6 | 11.8 | 9.4 | 10.5 | 8.2 | 9.7 | 0.38 | 0.72 | 0.30 |
Second birth | 5.4 | 4.4 | 6.3 | 4.7 | 3.8 | 3.6 | 5.3 | 0.58 | 0.68 | 0.13 |
aThe denominator is all vaginal births in first births
bThe denominator is all births delivered by cesarean in the first birth