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Zia S, Rafique M. Intra-operative complications increase with successive number of cesarean sections: Myth or fact?. Obstet Gynecol Sci. 2014;57(3):187-92doi: 10.5468/ogs.2014.57.3.187.
Zia, S., & Rafique, M. (2014). Intra-operative complications increase with successive number of cesarean sections: Myth or fact?. Obstetrics & gynecology science, 57(3), 187-92. https://doi.org/10.5468/ogs.2014.57.3.187
Zia, Shumaila, and Rafique, Muhammad. "Intra-operative complications increase with successive number of cesarean sections: Myth or fact?." Obstetrics & gynecology science vol. 57,3 (2014): 187-92. doi: https://doi.org/10.5468/ogs.2014.57.3.187
Zia S, Rafique M. Intra-operative complications increase with successive number of cesarean sections: Myth or fact?. Obstet Gynecol Sci. 2014 May;57(3):187-92. doi: 10.5468/ogs.2014.57.3.187. Epub 2014 May 15. PMID: 24883289; PMCID: PMC4038684.
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Obstet Gynecol Sci. 2014 May;57(3):187-92. doi: 10.5468/ogs.2014.57.3.187. Epub 2014 May 15.

Intra-operative complications increase with successive number of cesarean sections: Myth or fact?.

Obstetrics & gynecology science

Shumaila Zia, Muhammad Rafique

Affiliations

  1. Department of Obstetrics and Gynecology, King Khalid University Abha College of Medicine, Abha, Kingdom of Saudi Arabia.
  2. Department of Pediatrics, King Khalid University Abha College of Medicine, Abha, Kingdom of Saudi Arabia.

PMID: 24883289 PMCID: PMC4038684 DOI: 10.5468/ogs.2014.57.3.187

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 ≥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.

Keywords: Fetal outcome; Intra-operative complications; Multiple cesarean sections; Pregnancy outcome

References

  1. BJOG. 2004 Oct;111(10):1090-4 - PubMed
  2. Eur J Obstet Gynecol Reprod Biol. 1994 Oct;57(1):7-12 - PubMed
  3. Saudi Med J. 2006 Feb;27(2):210-4 - PubMed
  4. Am J Obstet Gynecol. 2009 Jul;201(1):56.e1-6 - PubMed
  5. Br J Obstet Gynaecol. 1988 Aug;95(8):778-82 - PubMed
  6. Obstet Gynecol. 1969 Nov;34(5):690-3 - PubMed
  7. Obstet Gynecol. 2006 Jul;108(1):21-6 - PubMed
  8. Obstet Gynecol. 2002 Jun;99(6):976-80 - PubMed
  9. Am J Obstet Gynecol. 1997 Jul;177(1):210-4 - PubMed
  10. Eur J Obstet Gynecol Reprod Biol. 2003 May 1;108(1):40-4 - PubMed
  11. Eur J Obstet Gynecol Reprod Biol. 2005 Apr 1;119(2):171-5 - PubMed
  12. J Obstet Gynaecol Can. 2006 Mar;28(3):193-197 - PubMed
  13. BJOG. 2004 Jun;111(6):561-3 - PubMed
  14. Eur J Obstet Gynecol Reprod Biol. 2003 Jan 10;106(1):10-3 - PubMed

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