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Increased Risk For Repeat C-Section Births - Natural Births Compared - Complications Arise From Second or More C Sections

June 1st 2006

Increased Risk For Repeat C-Section Births - Natural Births Compared - Complications Arise From Second or More C Sections


Researchers believe that repeat c-sections may increase the risk of bowel injury and other complications, according to a report in the June issue of Obstetrics and Gynecology.  The higher risks include accreta, cystotomy, bowel injury, ureteral injury; ileus, postoperative ventilatory use, ICU admission, and blood transfusion of at least 4 units were directly related to the number of cesarean deliveries.

Reuter’s health reported that the rate of placenta accreta ranged from 0.24% in first-time c-section patients to 6.74% in women with six or more c-sections. In women with previa, the rates were much higher, ranging from 3% in first-time c-section patients to 67% in women with at least five c-sections.  Also, the hysterectomy rate was lowest in second-time c-section patients and highest in those with at least six c-sections, ranging from 0.42% to 8.99%.


Dr. Robert M. Silver noted that “"the number of intended pregnancies should be considered during counseling regarding elective repeat cesarean operation versus a trial of labor and when debating the merits of elective primary cesarean delivery.”  Silver is lead author Dr. from the University of Utah School of Medicine in Salt Lake City.

The researchers analyzed data from a study that included 30,132 women who underwent c-section without labor in 19 academic centers from 1999 to 2002. There were 6,201 first (primary), 15,808 second, 6,324 third, 1,452 fourth, 258 fifth, and 89 sixth or more cesarean deliveries.


The number of c-sections is on the rise, according to the Reuters report.  Some hospitals and doctors require women to undergo a c-section if they have already had one before.  Of course there are other hospitals and other doctors that will allow a vaginal delivery subsequent to a c-section.  The report states: "Women planning large families should consider the risks of repeat cesarean deliveries when contemplating elective cesarean delivery or attempted vaginal birth after cesarean delivery.”

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Copyright 2005 Best Syndication                   Last Updated Saturday, July 10, 2010 09:51 PM