Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries

@article{Silver2006MaternalMA,
  title={Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries},
  author={Robert M Silver and Mark B. Landon and Dwight J. Rouse and Kenneth J. Leveno and Catherine Y. Spong and Elizabeth A Thom and Atef H. Moawad and Steve N. Caritis and Margaret A. Harper and Ronald J. Wapner and Yoram Sorokin and Menachem Miodovnik and Marshall W. Carpenter and Alan Peaceman and Mary J. O’Sullivan and Baha M. Sibai and Oded Langer and John M. Thorp and Susan M. Ramin and Brian M. Mercer},
  journal={Obstetrics \& Gynecology},
  year={2006},
  volume={107},
  pages={1226-1232}
}
OBJECTIVE: Although repeat cesarean deliveries often are associated with serious morbidity, they account for only a portion of abdominal deliveries and are overlooked when evaluating morbidity. Our objective was to estimate the magnitude of increased maternal morbidity associated with increasing number of cesarean deliveries. METHODS: Prospective observational cohort of 30,132 women who had cesarean delivery without labor in 19 academic centers over 4 years (1999–2002). RESULTS: There were 6… 

The Impact of Repeated Cesarean Sections on Perioperative Maternal Morbidity

TLDR
The rate of complications was higher in group three in patients with previous three or more cesarean deliveries, including bladder and bowel injuries, scar dehiscence, placenta previa, Placenta accreta, hysterectomy and post-operative ICU admission.

Birth after previous cesarean delivery: short-term maternal outcomes.

TLDR
A randomized controlled trial among women undergoing a TOLAC and a longitudinal cohort study among women with previous cesarean to evaluate adverse outcomes are recommended, with focused attention on both mother and the infant.

Risk of Maternal Morbidity with Increasing Number of Cesareans

TLDR
The risk of organ injury and hysterectomy is increased after two or more prior cesareans, and risks of hemorrhage and surgical site complications are increased after three or more cesarans.

Pregnancy Outcomes for Women With Placenta Previa in Relation to the Number of Prior Cesarean Deliveries

TLDR
Among women with a placenta previa, an increasing number of prior cesarean deliveries is associated with increasing maternal, but not perinatal, morbidity.

The Frequency and Complication Rates of Hysterectomy Accompanying Cesarean Delivery

TLDR
Despite the use of effective therapies and procedures to control hemorrhage at cesarean delivery, a small proportion of women continue to require hysterectomy toControl hemorrhage from both uterine atony and placenta accreta.

Effect of Multiple Repeat Cesarean Sections on Maternal Morbidity: Data from Southeast Turkey

Background Cesarean section (CS) is one of the most common obstetric procedures worldwide and an increased rate of cesarean section has been observed in recent studies. Maternal and fetal mortality

Long-term maternal morbidity associated with repeat cesarean delivery.

The rising cesarean delivery rate in America: what are the consequences?

TLDR
To reverse the trend of the rising cesarean delivery rate, obstetricians must reduce the primary rate and avoid the performance of a uterine incision unless absolutely necessary for fetal or maternal indications.

Maternal Morbidity with Repeated Cesarean Deliveries.

TLDR
Maternal morbidity increases with CDs, but the absolute risks remain low and the likelihood of uterine dehiscence increases significantly with increasing CDs which should be considered when deciding about timing of delivery in this population.
...

References

SHOWING 1-10 OF 25 REFERENCES

Are multiple cesarean sections safe?

Maternal Mortality Rate Associated with Cesarean Section: An Appraisal

Maternal morbidity after elective repeat caesarean section after two or more previous procedures.

Multiple caesarean sections: outcomes and complications

  • P. Kirkinen
  • Medicine
    British journal of obstetrics and gynaecology
  • 1988
TLDR
In most women who have had multiple caesarean sections it is possible to wait for elective delivery until the fetus is mature, and no absolute upper limit for the number of repeat caesAREan sections can be given.

Placenta Previa/Accreta and Prior Cesarean Section

To assess the relationship between increasing numbers of previous cesarean sections and the subsequent development of placenta previa and placenta accreta, the records of all patients presenting to

Is there a risk of lower segment scar rupture in pregnancy after multiple caesarean sections

TLDR
Fifty-nine carefully supervised obstetric patients, mean age 32-3 years, range 22-44, mean parity 5-2, range 4-13, who had had between 4 and 7 previous lower segment caesarean sections had elective abdominal deliveries at 38 weeks from 1972 to 1989 inclusive, finding no complications and no cases of ruptured uterus.