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Long-term maternal morbidity associated with repeat cesarean delivery.
Erin A S Clark1, Robert M Silver
1Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT 84132, USA. erin.clark@hsc.utah.edu
American Journal of Obstetrics and Gynecology
|November 26, 2011
Summary
Cesarean delivery is linked to increased long-term maternal health risks, including placenta accreta and chronic pain. Repeated cesarean births significantly elevate these risks, impacting future pregnancies and maternal well-being.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Reproductive Medicine
Background:
- Cesarean delivery rates are rising globally.
- Growing concern exists regarding long-term maternal morbidity associated with cesarean births.
- Evidence indicates a dose-response relationship between the number of cesarean deliveries and maternal risk.
Purpose of the Study:
- To review the association between cesarean delivery and long-term maternal morbidity.
- To highlight the risks of abnormal placentation, particularly placenta accreta spectrum disorder.
- To inform clinicians and patients about the reproductive health consequences of cesarean delivery.
Main Methods:
- Review of observational evidence on cesarean delivery and maternal morbidity.
- Analysis of risks for subsequent pregnancies and chronic conditions.
- Identification of major risk factors for adverse outcomes.
Main Results:
- Increased risk of placenta accreta spectrum disorder with multiple cesarean deliveries.
- Higher incidence of abnormal placentation, fetal growth restriction, preterm birth, and stillbirth.
- Chronic morbidities include pelvic pain and adhesions; reproductive effects involve decreased fertility and increased ectopic pregnancy risk.
Conclusions:
- Multiple cesarean deliveries are a major risk factor for placenta accreta spectrum disorder.
- Cesarean delivery is associated with various short- and long-term maternal health complications.
- Informed decision-making regarding delivery method is crucial for maternal health.
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