Single ceasarian section versus multiple ceasarian sections in magnitude of maternal and fetal complications: a case control study

Document Type : Original Article

Authors

Obstetrics and Gynecology department, Faculty of medicine, Beni- Suef University, Beni-Suef, 62514 Egypt

Abstract

There is a rise in repeated cesarean sections (CSs) with associated maternal & fetal complications. The study was to assess these risks at Beni- suef university hospital. 300 parturient women divided equally in 3 groups: control group, 2nd group with previous one CS, and the 3rd group with previous two or more cesarean deliveries. Pre-operative or intraoperative problems, estimated blood loss, longer Operation time, time to regaining bowel movement, hospital stay, intra and post-operative blood transfusion and doses of post CS analgesic were significantly increased among cases in the 3rd group. The number of neonates admitted to the NICU and neonatal deaths was higher while the mean Apgar score was significantly lower in the 3rd group. Strong correlation present between maternal & fetal complications with low Apgar score. Conclusion: Maternal and Neonatal outcomes were worse in mothers with previous two or more cesarean deliveries in comparison with other two groups.
 

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References

  1. Sayed MA, Sayed SM, Ibrahim M. Comparison between the Effect of Sublingual and Rectal Misoprostol on Hemoglobin Level Change before and after Caesarean Section. Egyptian Journal of Medical Research. 2020;1(2):13-23.
  2. Abd Elatay NB, Hathout HM, Gabr HM. Prevalence of Cesarean section delivery and associated risk factors. The Egyptian Family Medicine Journal. 2021;5(1):40-51.
  3. Creanga AA, Bateman BT, Butwick AJ, Raleigh L, Maeda A, Kuklina E, Callaghan WM. Morbidity associated with cesarean delivery in the United States: is placenta accreta an increasingly important contributor?. American journal of obstetrics and gynecology. 2015 Sep 1;213(3):384-e1.
  4. Wood SL, Tang S, Crawford S. Cesarean delivery in the second stage of labor and the risk of subsequent premature birth, American journal of obstetrics and gynecology. 2017;217(1):63-e1
  5. Ornaghi S, Maraschini A, Donati S, Regional Obstetric Surveillance System Working Group. Characteristics and outcomes of pregnant women with placenta accreta spectrum in Italy: Aprospective population-based cohort study. Plos one. 2021;16(6):e0252654.
  6. Mohamed SA, Elsayed YA, Ghonemy GE, Sharaf MF. Incidence and outcome of vaginal birth after cesarean among women receiving counseling at El Manial University Hospital. Egyptian Nursing Journal. 2020 May 1;17(2):107.
  7. Choudhary GA, Patell MK, Sulieman HA. The effects of repeated caesarean sections on maternal and fetal outcomes. Saudi Journal of Medicine and Medical Sciences. 2015;3(1):44.
  8. Magne F, Puchi Silva A, Carvajal B, Gotteland M. The elevated rate of cesarean section and its contribution to non-communicable chronic diseases in Latin America: the growing involvement of the microbiota. Frontiers in pediatrics. 2017;5:192.
  9. Kandil IM, Farhan AM, Shaker MM. The Impact of Repeated Cesarean Sections on Perioperative Maternal Morbidity. The Egyptian Journal of Hospital Medicine. 2019;77(4):5307-12.
  10. Lyell DJ. Adhesions and perioperative complications of repeat cesarean delivery. American journal of obstetrics and gynecology. 2011;205(6):S11-8.
  11. Kaplanoglu M, Bulbul M, Kaplanoglu D, Bakacak SM. Effect of multiple repeat cesarean sections on maternal morbidity: data from southeast Turkey. Medical science monitor: international medical journal of experimental and clinical research. 2015;21:1447.
  12. Hancerliogullari N, Yaman S, Aksoy RT, Tokmak A. Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries?. Pakistan journal of medical sciences. 2019;35(1):10.
  13. Alshehri KA, Ammar AA, Aldhubabian MA, Al-Zanbaqi MS, Felimban AA, Alshuaibi MK, Oraif A. Outcomes and complications after repeat cesarean sections among king abdulaziz university hospital patients. Materia socio-medica. 2019;31(2):119.
  14. Qublan HS, Tahat Y. Multiple cesarean section. The impact on maternal and fetal outcome. Saudi medical journal. 2006;27(2):210- 4.
  15. Stivanello E, Knight M, Dallolio L, Frammartino B, Rizzo N, Fantini MP. Peripartum hysterectomy and cesarean delivery: a population‐based study. Acta obstetricia et gynecologica Scandinavica. 2010;89(3):321-7.
  16. Gedikbasi A, Akyol A, Bingol B, Cakmak D, Sargin A, Uncu R, Ceylan Y. Multiple repeated cesarean deliveries: operative complications in the fourth and fifth surgeries in urgent and elective cases. Taiwanese Journal of Obstetrics and Gynecology. 2010 Dec 1;49(4):425-31.
  17. Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstetrics & Gynecology. 2006;107(6):1226–1232.
  18. Palova E, Redecha M, Malova A, Hammerova L, Kosibova Z. Placenta accreta as a cause of peripartum hysterectomy. Bratisl Lek Listy. 2016;117(4):212–216.
  19. Cook JR, Jarvis S, Knight M, Dhanjal MK. Multiple repeat caesarean section in the UK: incidence and consequences to mother and child. A national, prospective, cohort study. BJOG: An International Journal of Obstetrics & Gynaecology. 2013;120(1):85- 91.
  20. Rashid M, Rashid RS. Higher order repeat caesarean sections: how safe are five or more? BJOG. 2004;111(10):1090–1094.
  21. Althabe F, Sosa C, Belizán JM, Gibbons L, Jacquerioz F, Bergel Cesarean section rates and maternal and neonatal mortality in low‐, medium‐, and high‐income countries: an ecological study. Birth. 2006 Dec;33(4):270-7.
  22. Sabourin JN, Lee T, Magee LA, von Dadelszen P, Demianczuk N. Indications for, timing of, and modes of delivery in a national cohort of women admitted with antepartum hemorrhage at 22+ 0 to 28+ 6 weeks’ gestation. Journal of Obstetrics and Gynaecology Canada. 2012;34(11):1043-52.
  23. Ben-Ami I, Schneider D, Svirsky R, Smorgick N, Pansky M, Halperin R. Safety of late second-trimester pregnancy termination by laminaria dilatation and evacuation in patients with previous multiple cesarean sections. American journal of obstetrics and gynecology. 2009;201(2):154-e1.

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