Are multiple repeated cesarean sections really as safe?

Aim: Surgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries. Materials and methods: Records of 120 patients who had undergone cesarean sections (CSs) in our Department of Obstetrics and Gynecology, between August...

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Bibliographic Details
Published in:	The journal of maternal-fetal & neonatal medicine Vol. 30; no. 4; pp. 482 - 485
Main Authors:	Uyanikoglu, Hacer, Karahan, Mahmut Alp, Turp, Ahmet Berkiz, Agar, Mehmet, Tasduzen, Mehmet Emin, Sak, Sibel, Erdal Sak, Muhammet
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 16-02-2017
Subjects:	Adult Cesarean Section, Repeat - adverse effects Cesarean Section, Repeat - statistics & numerical data Complications Female Humans maternal risk multiple cesarean Postoperative Complications - epidemiology Pregnancy Retrospective Studies Tissue Adhesions - epidemiology Turkey - epidemiology Young Adult Complications maternal risk multiple cesarean
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Summary:	Aim: Surgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries. Materials and methods: Records of 120 patients who had undergone cesarean sections (CSs) in our Department of Obstetrics and Gynecology, between August and November 2015, were retrospectively studied. Cases were reviewed on the basis of age, type of operation, type of anesthesia, number of CSs, time of hospitalization, and intra-operative and post-operative complications. Results: Cesarean sections had been performed on 62 (51.7%) patients whose cesarean number was three or less, while 58 (48.3%) patients had multiple CSs four or more. Patients with four or more prior cesareans had an increased rate of intra-abdominal adhesions, compared with the other group. There was no significant difference in the gestational weeks, neonatal admission rate, incidence of cesarean hysterectomy, uterine scar rupture, placenta previa with placental invasion anomalies, bladder and bowel injuries, incidence of peripartum hemorrhage and blood transfusion rate between the two groups. Conclusion: There is no greater risk of maternal complications in patients with four or more prior cesareans, excepting intra-abdominal adhesions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1476-7058 1476-4954
DOI:	10.1080/14767058.2016.1175426