Association between timing of elective cesarean delivery and adverse outcomes among women with at least two previous cesareans

Hamadneh, Jehan; Alchalabi, H.; Hamadneh, Shereen; Amarin, Zouhair; Khader, Yousef; Kassab, Manal; Bani-Hani, Mahmoud

doi:10.1002/ijgo.12089

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…We concluded that performing repetitive CS at 39 weeks induces neonatal benefits. In agreement with the present study, Hamadneh et al [14] mentioned that CSs performed at 37 weeks had a higher risk of neonatal respiratory morbidity versus those at 38 weeks. The risk of stillbirth in later gestational weeks is an important factor in deciding the appropriate timing for an elective CS at term.…”

Section: Discussionsupporting

confidence: 93%

“…A retrospective study in which 9.4% (83/886) of the patients had four or more cesarean sections reported no significant differences in terms of maternal outcomes between CSs performed at 37 and 38 weeks [14];…”

Section: Discussionmentioning

confidence: 95%

“…A retrospective study, in which 9.4% (83/886) of the patients had four or more cesarean sections, reported that there was no difference in terms of maternal outcomes between CSs performed at 37 and 38 weeks [14]; however, there was a difference between the groups in terms of anesthesia type when maternal complications were reviewed. General anesthesia rates were higher in CSs at 37 weeks compared to those at 38 weeks (43.4% vs 34.1%, P = 0.005) [14]. The authors mentioned that this may be related to the high rate of emergency CS at 37 weeks.…”

Section: Discussionmentioning

confidence: 99%

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Timing of cesarean delivery for women with four or more previous cesarean sections

Ertürk

Kilicarslan

2022

J Surg Med

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Background/Aim: The number of recurrent cesareans is increasing worldwide, but the optimal timing for delivery in women who have had previous cesareans is controversial. The aim of this study is to determine the optimal timing of elective cesarean delivery in women with a history of four or more cesarean sections (CSs). Methods: This retrospective cohort study was conducted in a tertiary hospital; 195 patients with a history of four or more CSs were grouped according to their gestation weeks on operation day and analyzed in terms of demographic features and clinical data as well as maternal and neonatal outcomes. Gestation weeks were grouped as 37-38 weeks and 39 weeks. Logistic regression analysis was used to determine the effect of independent variables on maternal and fetal outcomes. Results: Of the 195 patients, 118 had CS between 37-38 weeks and 77 at 39 weeks. Clinical and demographic characteristics were similar among groups. The overall maternal complication did not differ between the groups (16.1% vs 16.9%, P = 0.885). The 1st and 5th minute APGAR scores were significantly lower in the 37-386 weeks group (P = 0.013 and P = 0.04, respectively). Logistic regression analysis found that neonatal 5th minute APGAR score was associated with a model including maternal age, number of previous CS, anesthesia type, gestational week at delivery, and neonatal birth weight. Conclusion: Timing CS at 39 weeks in patients with a history of four or more CSs was found not to worsen maternal outcomes. Additionally, planning at 39 weeks could improve newborn outcomes.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Timing of cesarean delivery for women with four or more previous cesarean sections

Ertürk

Kilicarslan

2022

J Surg Med

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“…4 Multiple caesarean sections have been linked to an increased risk of placenta previa, uterine scar dehiscence, bladder, bowel, and ureteric injuries, abdominal wall adhesions, and uterine rupture. 5 Although C-sections are a life-saving mode of delivery for mothers and neonates, with time, it is becoming a trend to avoid the normal delivery modes. Many complications are associated with Csections in further pregnancies.…”

Section: Introductionmentioning

confidence: 99%

High Order Cesarean Section: Is It Associated With More Operative Complications Then Lower Order Cesarean Section

Akram,

Khan,

Khalil

et al. 2023

PAFMJ

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Objective: To detect complications associated with higher order versus lower order cesarean section. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Mardan Pakistan, from Mar to Aug 2021. Methodology: The study was conducted on 210 women, the participants were categorised into two Groups: Group-I (Higherorder), who had undergone fourth and fifth cesarean sections, and Group-II (Lower order), who had undergone second and third Cesarean Sections. The presence of complications were noted in both the Groups. Results: The frequency of higher and lower-order Cesarean Sections was 75(35.7%) and 135(64.3%), respectively. Mean gestational age and parity were 38.96±0.69 weeks and 3.49±2.12, respectively. Dense omental adhesion was a significantly common complication in both Groups. Scar dehiscence was 35(25.9%) among Group-II. There was no significant association between the high-order cesarean section and its complications. Conclusion: The higher-order repeat cesarean section was not associated with more intraoperative complications when compared with lower-order cesarean section in our study. Certain factors like maternal age, parity and gestational age affect the intraoperative complications of the cesarean section.

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Timing of cesarean delivery in women with ≥2 previous cesarean deliveries

Shinar

Walsh

Roberts

et al. 2022

American Journal of Obstetrics and Gynecology

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Association between timing of elective cesarean delivery and adverse outcomes among women with at least two previous cesareans

Abstract: Among women with multiple cesareans, delivery at 37 weeks was associated with increased risk of neonatal respiratory morbidity and decreased risk of neonatal jaundice, but not with a reduction in maternal complications, as compared with delivery at 38 weeks or later.

Cited by 4 publications

References 19 publications

Timing of cesarean delivery for women with four or more previous cesarean sections

Timing of cesarean delivery for women with four or more previous cesarean sections

High Order Cesarean Section: Is It Associated With More Operative Complications Then Lower Order Cesarean Section

Timing of cesarean delivery in women with ≥2 previous cesarean deliveries

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