Senem Yaman Tunc1, Elif Agacayak1, Sibel Sak2, Serdar Basaranoglu3, Neval Yaman Goruk4, Abdulkadir Turgut1, Hayrettin Tay5, Evindar Elci1, Talip Gul1. 1. a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey. 2. b Department of Obstetrics and Gynecology , School of Medicine, Harran University , Sanliurfa , Turkey. 3. c Department of Obstetrics and Gynecology , School of Medicine, Fatih University , Istanbul , Turkey. 4. d Department of Obstetrics and Gynecology , Memorial Hospital , Diyarbakir , Turkey , and. 5. e Department of Obstetrics and Gynecology , Private Batman Dunya Hospital , Batman , Turkey.
Abstract
OBJECTIVE: The aim of the present study is to evaluate the effects of the increased number of caesarean deliveries (CDs) in cases of multiple repeat caesarean deliveries (MRCDs) on maternal and neonatal morbidity. METHODS: MRCDs admitted to our hospital between January 2013 and September 2014 were analysed retrospectively. A total number of 1133 women were included in the study and were divided into 4 groups. Group 1: second CDs (n = 329); Group 2: third CDs (n = 225); Group 3: fourth CDs (n = 447); Group 4: fifth CDs (n = 132). The clinical, demographic, intraoperative and postoperative data of the patients were registered upon the review of patient files. RESULTS: The differences among the groups were found to be statistically significant in terms of mean maternal age, gravida, APGAR (Activity, Pulse, Grimace, Appearance, Respiration) scores, hospital stay and operation time. In addition, the difference was also statistically significant for severe adhesion, bladder injury and premature birth. No statistically significant difference was observed among the groups with respect to placenta previa, placenta accreta, caesarean hysterectomy, uterine scar rupture. CONCLUSIONS: According to our findings, MRCDs seem to increasing the maternal and neonatal morbidity even though they are not life-threatening.
OBJECTIVE: The aim of the present study is to evaluate the effects of the increased number of caesarean deliveries (CDs) in cases of multiple repeat caesarean deliveries (MRCDs) on maternal and neonatal morbidity. METHODS: MRCDs admitted to our hospital between January 2013 and September 2014 were analysed retrospectively. A total number of 1133 women were included in the study and were divided into 4 groups. Group 1: second CDs (n = 329); Group 2: third CDs (n = 225); Group 3: fourth CDs (n = 447); Group 4: fifth CDs (n = 132). The clinical, demographic, intraoperative and postoperative data of the patients were registered upon the review of patient files. RESULTS: The differences among the groups were found to be statistically significant in terms of mean maternal age, gravida, APGAR (Activity, Pulse, Grimace, Appearance, Respiration) scores, hospital stay and operation time. In addition, the difference was also statistically significant for severe adhesion, bladder injury and premature birth. No statistically significant difference was observed among the groups with respect to placenta previa, placenta accreta, caesarean hysterectomy, uterine scar rupture. CONCLUSIONS: According to our findings, MRCDs seem to increasing the maternal and neonatal morbidity even though they are not life-threatening.
Authors: James A Sargent; Leah M Savitsky; Mekhala V Dissanayake; Jamie O Lo; Yvonne W Cheng; Aaron B Caughey Journal: Am J Perinatol Date: 2018-09-19 Impact factor: 1.862