Birth route in case of cesarean section in a previous pregnancy

Abstract

introductionOver the past decades, the increase in cesarean section rates worldwide, especially in developed countries, has been evident. Nearly a third of all births in the US occur by cesarean section and the proportion of both, first cesarean and repeat cesarean, is still increasing every year (A) 1 (D). 3Cesarean delivery is a relatively simple procedure, but with inherent risks to its indication that predispose to various complications such as puerperal infection, ectopic pregnancy and thromboembolic events, especially when repeated. The risk of maternal death is increased, as much as the occurrence of infection, hemorrhage and anesthetic complications, which also increases maternal morbidity compared to vaginal delivery. Late complications, especially poor placental implantation in the subsequent pregnancy (placenta with low insertion and varying degrees of placenta accreta), are directly related to a history of cesarean section (B). 2Maternal morbidity increases in response to each additional cesarean section, especially for women with three or more cesarean sections who have a high risk of low insertion placenta, placenta accreta and hysterectomy (A).

Comparative analysis of maternal and neonatal outcomes between elective and emergency caesarean section at a single tertiary hospital: a retrospective COHORT study

“…Caesarean section is performed to preserve the life of the fetus and mother; however repeated caesarean sections carry various risks. 7 There are various indications to perform a caesarean with the two most common maternal indications being previous history of caesarean section and dystocia or cephalo-pelvic disproportion. 8 Other indications include lesions that interfere with engagement of the fetal head, fetal distress, malpresentation, and presence of congenital defects.…”