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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| Published in: | The journal of maternal-fetal & neonatal medicine Vol. 30; no. 4; pp. 482 - 485 |
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| Language: | English |
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Taylor & Francis
16-02-2017
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| Abstract | 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. |
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| AbstractList | AIMSurgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries.MATERIALS AND METHODSRecords 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.RESULTSCesarean 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.CONCLUSIONThere is no greater risk of maternal complications in patients with four or more prior cesareans, excepting intra-abdominal adhesions. 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. Surgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries. 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. 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. There is no greater risk of maternal complications in patients with four or more prior cesareans, excepting intra-abdominal adhesions. |
| Author | Karahan, Mahmut Alp Erdal Sak, Muhammet Tasduzen, Mehmet Emin Uyanikoglu, Hacer Sak, Sibel Turp, Ahmet Berkiz Agar, Mehmet |
| Author_xml | – sequence: 1 givenname: Hacer surname: Uyanikoglu fullname: Uyanikoglu, Hacer email: huoglu@hotmail.com organization: Department of Obstetrics and Gynecology, Medical Faculty, Harran University – sequence: 2 givenname: Mahmut Alp surname: Karahan fullname: Karahan, Mahmut Alp organization: Department of Anesthesiology and Reanimation, Medical Faculty, Harran University – sequence: 3 givenname: Ahmet Berkiz surname: Turp fullname: Turp, Ahmet Berkiz organization: Department of Obstetrics and Gynecology, Medical Faculty, Harran University – sequence: 4 givenname: Mehmet surname: Agar fullname: Agar, Mehmet organization: Department of Obstetrics and Gynecology, Medical Faculty, Harran University – sequence: 5 givenname: Mehmet Emin surname: Tasduzen fullname: Tasduzen, Mehmet Emin organization: Department of Obstetrics and Gynecology, Medical Faculty, Harran University – sequence: 6 givenname: Sibel surname: Sak fullname: Sak, Sibel organization: Department of Obstetrics and Gynecology, Siverek Medicine Hospital – sequence: 7 givenname: Muhammet surname: Erdal Sak fullname: Erdal Sak, Muhammet organization: Department of Obstetrics and Gynecology, Medical Faculty, Harran University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27072611$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1111/j.1471-0528.2004.00244.x 10.1016/S0301-2115(02)00196-3 10.1016/j.ejogrb.2004.07.022 10.1111/jog.12112 10.1016/j.ajog.2004.01.026 10.1016/S1701-2163(16)32308-8 10.1016/j.ajog.2011.06.035 10.1016/j.ajog.2009.04.039 10.1097/01.AOG.0000428649.57622.a7 10.1097/AOG.0b013e3182822193 10.2399/tahd.13.63634 10.1111/1471-0528.12010 |
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| Snippet | Aim: Surgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries.
Materials... Surgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries. Records of 120... AIMSurgical complications were compared between patients with three or less prior cesarean deliveries and four or more prior cesarean deliveries.MATERIALS AND... |
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| SubjectTerms | 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 |
| Title | Are multiple repeated cesarean sections really as safe? |
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