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Are multiple repeated cesarean sections really as safe? | LitMetric

Are multiple repeated cesarean sections really as safe?

J Matern Fetal Neonatal Med

a Department of Obstetrics and Gynecology , Medical Faculty, Harran University, Sanliurfa , Turkey.

Published: February 2017

AI Article Synopsis

  • The study aimed to compare surgical complications in patients who had three or fewer cesarean deliveries versus those with four or more.
  • A total of 120 patient records from cesarean sections conducted between August and November 2015 were analyzed, focusing on various factors like age, type of operation, anesthesia, and complications.
  • Results showed that patients with four or more prior cesareans had higher rates of intra-abdominal adhesions, but otherwise, there were no significant differences in maternal complications between the two groups.

Article 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.

Download full-text PDF

Source
http://dx.doi.org/10.1080/14767058.2016.1175426DOI Listing

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