How many c sections are safe to have

Media contact: Dee Dee Grays , You Asked: How many C-sections can a woman have? Facebook 0 Tweet 0. Author Details. Dominic Hernandez. You may also like. New kind of health care center opens in Bryan. A total of pregnant women who had undergone CS were investigated from the database.

Women with multiple pregnancies and prior classic, T, or low vertical incisions were not included. The control group was comprised women who had undergone two or three CSs. Demographic characteristics and maternal outcomes were compared between two groups. Following demographic parameters of study population were collected: maternal age, gravidity, parity, number of previous CSs, gestational week at delivery, presence of additional diseases, birthweight, Apgar score at 5 min and tubal ligation surgery.

Additional diseases were systemic illnesses such as hypertension, preeclampsia, diabetes and chronic renal disease. Intraoperative and postoperative parameters included presence of adhesion, operation time, length of hospital stay, preoperative and postoperative hemoglobin Hb levels, blood transfusion, placenta previa, abnormal placental invasion, uterine rupture, cesarean hysterectomy, bladder and bowel injury and maternal death.

In our hospital, elective CSs were performed at 39 gestational weeks after confirming gestational age by first trimester crown rump length measurement. Emergency CS was performed in the setting of non-reassuring fetal status, failure to progress in labor or labor after previous CS. All operations were performed by a specialist obstetrician. In general, a Pfannenstiel skin incision was made and carried down through layers to open the abdominal cavity.

The uterus was opened with a transverse lower segment incision. The duration of the operation was calculated from the time between initiation of anesthesia and closure of the skin incision. Length of hospital stay indicated the time between the completion of CS and hospital discharge. The severity of the pelvic adhesions was graded according to American Fertility Society Classification of adnexal adhesions. Placenta previa was defined as the placental implantation over the internal cervical os or within 2 cm of it.

We used the term abnormal placental invasion for placenta accreta, increta and percreta. Placental invasion abnormalities were defined according to surgery reports by the surgeon during surgery as a difficult manual removal with no cleavage plane identified between the placenta and uterus, resulting in incomplete removal or need to leave the entire placenta in situ and invasion of other pelvic organs.

Pathological confirmation was not routinely used. Uterine rupture was defined as full-thickness separation of a prior uterine scar. Continuous parametric variables between groups were compared by Independent t-test.

Categorical data was analyzed by chi-square test. Of the patients in control group, had two previous CS and had three previous CSs. The demographic characteristics of the two groups are presented in Table-I. The gestational age at delivery Maternal outcomes according to groups were shown in Table-II.

Compared to control group, the patients in MRSC group had significantly higher adhesion incidence Furthermore, operation time There were not significant differences among two groups in terms of preoperative All patients with uterine rupture were treated successfully. One patient in the MRCS group required cesarean hystrectomy.

There was no maternal death in both groups. In the past 5 years, the cesarean delivery rate has substantially increased in our center.

The rate was The significant rise in the cesarean delivery rate can be attributed to many factors such as, inadequate knowledge of contraceptive, advanced maternal age, maternal preference and medico-legal concerns.

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Request Appointment. Objective: To determine the maternal morbidity and mortality associated with multiple repeat caesarean sections. Design: Retrospective study.