[Long-term risks of cesarean section].

Long-term risks of cesarean section are underappreciated. Uterine rupture is a rare, but dramatic complication. Maternal anemia and infection, hysterectomy, perinatal death or cerebral palsy are frequent in case of rupture of the uterus during delivery. Vaginal birth after cesarean section is sharply declining in developed countries. Women with previous cesarean sections have also a higher risk of placenta praevia accreta. Hysterectomy is almost always nessessary in unstable hemodynamic conditions. The rising rate of cesarean sections may lead politicians to put obstetricians under supervision. Because of these risks, we have to aim at avoiding the first cesarean section.