Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Higher order repeat caesarean sections: how safe are five or more?

Mumtaz Rashid1, Rabia S Rashid

  • 1Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.

BJOG : an International Journal of Obstetrics and Gynaecology
|September 24, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Acute generalized exanthematous pustulosis due to dextromethorphan.

Contact dermatitis·2020
Same author

A qualitative study of the allergy testing experiences, views and preferences of adult patients.

Clinical and translational allergy·2016
Same author

Pelvic floor muscle training for female urinary incontinence: Does it work?

Archives of gynecology and obstetrics·2015
Same author

Accidental delivery of a baby during a caesarean section through a vaginal incision (a laparoelytrotomy).

BMJ case reports·2012
Same author

Ruptured intracranial aneurysm in pregnancy: a case report.

BMJ case reports·2011
Same author

Exploring the psychosexual drive, before genital cosmetic surgery.

European journal of obstetrics, gynecology, and reproductive biology·2011

Higher order repeat caesarean sections (five or more) showed no increased maternal or neonatal risks compared to lower order (three or four) repeat procedures. While longer operating times and severe adhesions were noted, key complications and mortality rates were similar between groups.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Outcomes

Background:

  • Multiple repeat caesarean sections are increasingly common.
  • Understanding the risks associated with higher-order repeat procedures is crucial for patient counseling and management.
  • Previous studies have yielded conflicting results regarding the safety of 5+ caesarean sections.

Purpose of the Study:

  • To evaluate maternal morbidity and mortality in women undergoing five or more repeat caesarean sections.
  • To compare outcomes with women undergoing third or fourth repeat caesarean sections.

Main Methods:

  • Retrospective study conducted at Security Forces Hospital, Riyadh, Saudi Arabia.
  • Compared 308 women undergoing 5th-9th caesarean section (mean 7) with 306 women undergoing 3rd-4th caesarean section.

Related Experiment Videos

  • Assessed operative and post-operative complications, including adhesions, blood loss, and infection rates.

    • Main Results:

    • Women undergoing 5+ caesarean sections experienced longer operating times and increased severe adhesions.
    • Drop in hemoglobin was significantly higher in the 5+ caesarean section group.
    • No significant differences were observed in rates of caesarean hysterectomy, uterine rupture, placenta accreta, bladder injury, infections, or neonatal outcomes. Maternal mortality was low in both groups.

    Conclusions:

    • Higher-order (5-9) repeat caesarean sections do not appear to carry specific additional risks compared to lower-order (3-4) repeat sections.
    • Careful surgical technique and patient selection remain important for all repeat caesarean deliveries.