Increased rate of C-Section in pregnant women with Rheumatic Diseases - Indications under the magnifying glass: a retrospective cohort study

Increased rate of C-Section in pregnant women with Rheumatic Diseases - Indications under the magnifying glass: a retrospective cohort study | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 25 January 2026 V1 Latest version Share on Increased rate of C-Section in pregnant women with Rheumatic Diseases - Indications under the magnifying glass: a retrospective cohort study Authors : Christina Hoerhager 0009-0001-0220-6518 [email protected] , Antonia Mazzucato-Puchner , Johannes Ott , Valerie Kuczwara , Alexandra Szlatinay , Peter Mandl , Daniel Mayrhofer , Valentin Ritschl , Tanja Stamm , Liv Ostrowski , and Klara Rosta Authors Info & Affiliations https://doi.org/10.22541/au.176931198.80651916/v1 159 views 48 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective : To investigate reasons for increased cesarean section (CS) rates in women with systemic lupus erythematosus (SLE) and inflammatory joint diseases (IJD) using the Robson classification. Design : Retrospective single-center cohort study. Setting : RhePro-Study conducted at a tertiary health care centre. Population : A total of 185 women: 119 healthy controls (HC), 40 SLE, and 26 IJD patients. Methods : The study-population was classified according to the Robson system. Mode of delivery and CS indications were compared between groups and categorized as absolute obstetric, relative composite, or rheumatic disease–related. Main Outcome Measures : Robson group distribution, mode of delivery, and CS indications. Results : Women with IJD had significantly fewer spontaneous vaginal deliveries (23.1% vs 54.6%, p = 0.009) and higher CS rates (65.4% vs 37.8%, p = 0.038) than HC. Mode of delivery did not differ significantly between IJD and SLE patients. SLE patients had the highest proportion of absolute obstetric CS indications (78.9%) compared to HC (55.6%) and IJD (23.5%). 64.7% of CSs in IJD patients were performed for relative composite indications. Previous CS was the most common indication for CS overall (25.9%). Conclusions : High CS rates in IJD despite few obstetric indications suggest modifiable clinical decision-making. Neither SLE nor IJD alone necessitates surgical delivery. CS rates should be reduced in rheumatic patients without absolute indications, in line with WHO recommendations. Supplementary Material File (figure 1.docx) Download 178.33 KB File (manuscript.docx) Download 4.76 MB File (tables.docx) Download 32.15 KB Information & Authors Information Version history V1 Version 1 25 January 2026 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: caesarean section general obstetrics medical disorders in pregnancy puerperium Authors Affiliations Christina Hoerhager 0009-0001-0220-6518 [email protected] Medizinische Universitat Wien View all articles by this author Antonia Mazzucato-Puchner Medizinische Universitat Wien View all articles by this author Johannes Ott Medizinische Universitat Wien View all articles by this author Valerie Kuczwara Medizinische Universitat Wien View all articles by this author Alexandra Szlatinay Medizinische Universitat Wien View all articles by this author Peter Mandl Medizinische Universitat Wien View all articles by this author Daniel Mayrhofer Medizinische Universitat Wien View all articles by this author Valentin Ritschl Medizinische Universitat Wien View all articles by this author Tanja Stamm Medizinische Universitat Wien View all articles by this author Liv Ostrowski Medizinische Universitat Wien View all articles by this author Klara Rosta Medizinische Universitat Wien View all articles by this author Metrics & Citations Metrics Article Usage 159 views 48 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Christina Hoerhager, Antonia Mazzucato-Puchner, Johannes Ott, et al. Increased rate of C-Section in pregnant women with Rheumatic Diseases - Indications under the magnifying glass: a retrospective cohort study. Authorea . 25 January 2026. DOI: https://doi.org/10.22541/au.176931198.80651916/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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