Related Experiment Video
Updated: Apr 4, 2026
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Case series of multiple repeat caesarean sections: operative, maternal, and neonatal outcome
Abdullah Alnoman1,2,3,4, Ziad El-Khatib5,6,7,8, Ahmad M S Almrstani1
1a Department of Obstetric and Gynecology , Faculty of Medicine, King Abdulaziz University Hospital , Jeddah , Saudi Arabia .
Objective:
The objective of this study is to review the maternal and neonatal morbidity and mortality associated with six or more caesarean section (CS).
Methods:
We conducted a retrospective chart review, at King Abdulaziz University Hospital (KAUH) in Jeddah, for all patients admitted between 2000 through 2010 and identified five patients having more than six CS deliveries.
Results:
Deliveries occurred in the ranges of 31-38 weeks, from which four cases required emergency CS. There were two cases in the series with a placenta previa. There was a single case of uterine dehiscence. Only one case required a blood transfusion and was complicated with a placenta accreta, bladder injury, urinary tract infection, and prolonged maternal hospital stay with neonatal intensive care unit (NICU) admission. All cases had moderate to severe adhesion intra-operatively. Operative time was long in all cases with a range 55-106 min. One of the five cases had a postoperative wound infection. Finally, none of the current series showed fetal or maternal mortalities.
Conclusions:
The long-term complications associated with CS should be discussed with patients in the first and subsequent pregnancies. This case series highlighted the outcomes in these unique cases of higher order caesareans.
