Spondyloarthritis & psoriatic arthritis
Caesarean section in women with axial spondyloarthritis and psoriatic arthritis: a population-based study
Authors' conclusion
Women with axSpA had higher risk for elective and women with PsA for emergency CS. Active disease amplified this risk.
Study context
- Population
- Singleton births in women with axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA), Norway, 2010–2019singleton births
- Participants
- 312 / 121 / 575,798
- Exposure
- Women with axSpA or PsA vs population controls
- axSpAn = 312
- PsAn = 121
- Population controlsn = 575,798reference
- Outcome
- Caesarean section rates
Methodological detailsregistry linkage (Medical Birth Registry of Norway (MBRN) and RevNatus), nationwide
- Registry linkage (MBRN and RevNatus)
- Nationwide
Main finding
As reported in the abstract
CS
Observational data: associations, not effects.
Further findings
| Outcome | Risk difference (95% CI) | |
|---|---|---|
| Elective CSaxSpAvs Population controls | 4.4% (1.5%–8.2%) | |
| Emergency CSPsAvs Population controls | 10.6% (4.4%–18.7%) | |
| −1001020Difference (linear scale) |
| Outcome | axSpA | PsA |
|---|---|---|
| CS in inflammatory active disease (subgroup)Inflammatory active disease | 23.7% | 33.3% |
Elective caesarean section (CS)
- PsA: no higher risk for elective CS vs population controls
Emergency CS
- axSpA: no higher risk for emergency CS vs population controls
Original publication
Caesarean section in women with axial spondyloarthritis and psoriatic arthritis: a population-based study. RMD Open. Published 2 March 2023. doi:10.
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