Related Experiment Video
Updated: Aug 23, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Outcome after a high number (4-10) of repeated caesarean sections
Kaisa Juntunen1, Leo Mäkäräinen, Pertti Kirkinen
1Family Federation of Finland, Oulu Clinic, Finland.
Objective:
To evaluate outcomes in caesarean sections repeated several times.
Population:
Sixty-four women had had four or more (up to 10) caesarean sections.
Methods:
The outcomes of these operations N= 149, study group) were compared with other caesarean sections.
Results:
A quarter of the women in the study group complained of low abdominal pains during the late pregnancy. A thin or fenestrated isthmic myometrial layer was observed in 55% of their operations. Abnormal placentation with an increased risk of major operative complications occurred more often in the study group. No differences in post-operative complications or perinatal outcome emerged between the groups.
Conclusion:
Thus, no definitive upper limit for the number of caesarean sections per individual woman can be given.

