OBJECTIVE: To evaluate outcomes in caesarean sections repeated several times. POPULATION: Sixty-four women had had four or more (up to 10) caesarean sections. METHODS: The outcomes of these operations N= 149, study group) were compared with other caesarean sections. RESULTS: A quarter of the women in the study group complained of low abdominal pains during the late pregnancy. A thin or fenestrated isthmic myometrial layer was observed in 55% of their operations. Abnormal placentation with an increased risk of major operative complications occurred more often in the study group. No differences in post-operative complications or perinatal outcome emerged between the groups. CONCLUSION: Thus, no definitive upper limit for the number of caesarean sections per individual woman can be given.
OBJECTIVE: To evaluate outcomes in caesarean sections repeated several times. POPULATION: Sixty-four women had had four or more (up to 10) caesarean sections. METHODS: The outcomes of these operations N= 149, study group) were compared with other caesarean sections. RESULTS: A quarter of the women in the study group complained of low abdominal pains during the late pregnancy. A thin or fenestrated isthmic myometrial layer was observed in 55% of their operations. Abnormal placentation with an increased risk of major operative complications occurred more often in the study group. No differences in post-operative complications or perinatal outcome emerged between the groups. CONCLUSION: Thus, no definitive upper limit for the number of caesarean sections per individual woman can be given.
Authors: Khalid A Alshehri; Ahmed A Ammar; Meshal A Aldhubabian; Mohammed S Al-Zanbaqi; Ahyad A Felimban; Motaz K Alshuaibi; Ayman Oraif Journal: Mater Sociomed Date: 2019-06