Journal of Immigrant and Minority Health

, Volume 13, Issue 3, pp 494–499 | Cite as

Fertility After Cesarean Delivery Among Somali-Born Women Resident in the USA

  • Wael Salem
  • Priscilla Flynn
  • Amy Weaver
  • Brian Brost
Original Paper


We evaluated the reproductive impact of cesarean versus vaginal delivery in Somali immigrants. Data were extracted for 106 Somali women delivering vaginally (64%) or by cesarean section (36%) between 1994 and 2006. Index delivery (vaginal versus cesarean) was compared to the cumulative incidence rate of subsequent deliveries. The incidence rate of a delivery after a vaginal delivery was 3.3% (CI:0–7.8%), 55.4% (CI:40.1–66.8%) and 74.4% (CI:59.0–84.0%) at 1, 2 and 3 years. Cesarean delivery lead to a second delivery incidence rate of 2.9%(95%CI:0–8.2%), 25.9%(95%CI:9.8–39.2%) and 58.1% (95%CI:27.0–72.2%) at 1, 2 and 3 years. Somali women delivering vaginally were 1.56 times (95% CI:0.94–2.57; P = 0.084) more likely to have a subsequent delivery. The likelihood of Somali women having a second child after cesarean section is lower at 2 and 3 year follow-up.


Cesarean section Somali Infertility Migrant 



Support for this work was provided by the Department of Obstetrics and Gynecology, Mayo Clinic.

Details of Ethics Approval

The study protocol was reviewed and then approved by the Mayo Clinic Institutional Review Board. This study received institutional approval #08-004210 for review of patient data in July 2008.

Disclosures of Interest Statement

No authors had any conflict of interest with the research study.


This study was funded by the Mayo Clinic Department of Obstetrics and Gynecology.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Wael Salem
    • 1
  • Priscilla Flynn
    • 2
  • Amy Weaver
    • 3
  • Brian Brost
    • 4
  1. 1.Mayo Clinic College of MedicineRochesterUSA
  2. 2.Office of Women’s HealthRochesterUSA
  3. 3.Department of Biomedical Statistics and BioinformaticsMayo ClinicRochesterUSA
  4. 4.Department of Obstetrics and GynecologyMayo Clinic College of MedicineRochesterUSA

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