Pregnancy and the Risk of Autoimmune Disease
2011

Pregnancy and the Risk of Autoimmune Disease

Sample size: 1035639 publication Evidence: moderate

Author Information

Author(s): Khashan Ali S., Kenny Louise C., Laursen Thomas M., Mahmood Uzma, Mortensen Preben B., Henriksen Tine B., O'Donoghue Keelin

Primary Institution: Cork University Maternity Hospital, University College Cork

Hypothesis

The risk of autoimmune disease is increased following pregnancy, particularly after caesarean section and abortion.

Conclusion

The study suggests an association between pregnancy and the risk of subsequent maternal autoimmune diseases, with increased risks after vaginal delivery and caesarean section, and decreased risks after abortion.

Supporting Evidence

  • Women who had their first pregnancy delivered vaginally had a higher incidence of autoimmune diseases.
  • Women who had a caesarean section had an increased risk of autoimmune diseases in the first year after delivery.
  • Women who had an abortion showed a reduced risk of autoimmune diseases in the first year following the procedure.
  • The study followed over a million women to assess the impact of pregnancy on autoimmune disease risk.

Takeaway

Having a baby can change a woman's health, and this study found that women are more likely to get certain diseases after giving birth, especially if they had a caesarean section.

Methodology

The study used data from the Danish Civil Registration System and linked it with other national registers to analyze the risk of autoimmune diseases in women based on their delivery method.

Potential Biases

There may be a risk of bias due to increased testing for autoimmune diseases during pregnancy, which could affect the observed associations.

Limitations

The study only included data on the first pregnancy and did not account for subsequent pregnancies, which may influence the risk of autoimmune diseases.

Participant Demographics

Women born in Denmark between 1962 and 1992, aged 14 years or older.

Statistical Information

Confidence Interval

[95% CI: 0.84, 0.99]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0019658

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