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Repeat C-Sections Raise Risk of Maternal Morbidity: “The risks of placenta 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. In addition, both the operative time and hospital stay rose as the number of c-sections increased.
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.
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%.
‘Women planning large families should consider the risks of repeat cesarean deliveries when contemplating elective cesarean delivery or attempted vaginal birth after cesarean delivery,’ the authors conclude.”

HT ALicia

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