Intra-operative complications increase with successive number of cesarean sections: Myth or fact?
Obstetrics & Gynecology Science
;
: 187-192, 2014.
Article
in English
| WPRIM
| ID: wpr-24463
ABSTRACT
OBJECTIVE:
To determine whether complications related to surgery increase with increasing number of cesarean sections (CSs) in upper segment placenta. To compare the complications in urgent and elective high order (4-6) repeat CSs.METHODS:
A retrospective analysis of 519 women who underwent repeat CS was performed from January to December 2012. Women were divided into 3 groups group 1 with previous 3 CS (n=325), group 2 with previous 4 CS (n=139), and group 3 with previous > or =5 CS (n=55).RESULTS:
Statistically significant differences (P < 0.001) were observed among 3 groups, regarding mean gravidity, type of CS, midline incision and bilateral tubal ligation performed. The risks of severe intra-peritoneal adhesions, thin out lower uterine segment and bladder injury were significantly increased (P < 0.001) with increasing number of CS deliveries. Only one cesarean hysterectomy was done in group 1 due to post partum hemorrhage. No significant differences were found in blood loss, duration of surgery, post operative hospital stay as well as birth weight and Apgar scores of newborns. The elective and emergency CS groups of high order repeat CS had no remarkable differences in operative, post operative complications and fetal outcome.CONCLUSION:
Women with repeat CS are at increased risk of having multiple intra-operative surgical complications which increase with each subsequent CS. Pregnant women must be informed of the related risks which may affect counselling regarding possible tubal ligation.Women with repeat CS are at increased risk of having multiple intra-operative surgical complications which increase with each subsequent CS. Pregnant women must be informed of the related risks which may affect counselling regarding possible tubal ligation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Placenta
/
Sterilization, Tubal
/
Birth Weight
/
Urinary Bladder
/
Pregnancy Outcome
/
Cesarean Section
/
Retrospective Studies
/
Gravidity
/
Pregnant Women
/
Emergencies
Type of study:
Observational study
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2014
Type:
Article
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