Multiple Repeat Caesarean Sections: Complications and Outcomes

Factors influencing cesarean delivery operative times: a prospective observational cohort study

“…6 Also, parturients who had more than three previous cesarean deliveries are known to have significantly more adhesions than parturients with one previous cesarean delivery. 7 None of the above studies found an association between the degree of intra-abdominal adhesions and operative times. The present study used a scar score to assess the degree of tissue damage, something our obstetric surgeons suggested.…”

“…Other studies found a relationship between the number of previous cesarean deliveries and the degree of intra-abdominal adhesions, but not operative times. [4][5][6][7] The primary aim of the present study was to determine the distribution of operative times for uncomplicated parturients undergoing cesarean delivery with a low transverse uterine incision under neuraxial anesthesia. A secondary aim was to determine the influence of various factors on cesarean delivery operative times.…”

The association of skin-incision type at cesarean with maternal and neonatal morbidity for women with multiple prior cesarean deliveries

“…Although a large portion of that risk is attributable to abnormal placentation [1,2], maternal complications related to dense adhesions encountered at the time of repeat CD also have been reported as a cause of significant morbidity [4]. The frequency of severe adhesions, moreover, increases with the number of CDs [2][3][4]6,7].…”

“…Although a large portion of that risk is attributable to abnormal placentation [1,2], maternal complications related to dense adhesions encountered at the time of repeat CD also have been reported as a cause of significant morbidity [4]. The frequency of severe adhesions, moreover, increases with the number of CDs [2][3][4]6,7].In current practice, most women undergo repeat CD through a transverse skin incision, such as the Pfannenstiel or the Joel-Cohen, which provides better cosmetic results and carries a lower risk of incisional hernia [8]. Vertical skin incisions typically have been reserved for emergent situations necessitating expeditious delivery, or in settings when it is thought that greater exposure may be necessary (e.g., planning for cesarean hysterectomy) [8].…”

Comparative study of abnormal placentation in patients with previous two caesarean section over two time periods

“…This is similar to birth weights by Sobande A and Rashid M et al where mean birth weight were 2.972 kg and 2.966 kg respectively. 2,6 Birth weights were lower compared to study by Macones GA and Cahill AG et al in which mean birth weight was 3.392kg and 3.046kg respectively. 7,8 Lower birth weight can be explained by the fact that the patients in our country are constitutionally small as compared to their western counterparts along with anaemia, preeclampsia, abnormal placentation and multitude of social problems.…”