Perinatal Morbidity & Mortality Following Repeat Cesarean Section with Five or More Previous Surgeries

Introduction: Cesarean sections have become increasingly common in regions with high birth rates, particularly in the Middle East. However, when the number of cesarean sections exceeds five, both maternal and neonatal risks escalate significantly. This research conducted at the Security Forces Hospital in Riyadh, Saudi Arabia, provides a comprehensive analysis of the outcomes for women undergoing their sixth or more cesarean sections. For more groundbreaking studies in obstetrics and gynecology, visit https://www.obstetricgynecoljournal.com/.

Main Content Sections: The study compared women undergoing their sixth or more cesarean sections with those having between three to five surgeries. Key findings include:

• Maternal Complications: The study group had a significantly higher incidence of severe adhesions (41.25%) and uterine rupture (6.25%). Additionally, 20% of women required blood transfusions compared to just 5% in the control group.
• Neonatal Outcomes: There was a higher rate of low birth weight (25%) and neonatal intensive care unit (NICU) admissions (27.5%) in the study group, indicating the increased neonatal risks associated with multiple cesarean sections.

Integration of External Medical Sources: The American College of Obstetricians and Gynecologists (ACOG) emphasizes the importance of proper counseling for women with multiple cesarean sections, highlighting the risks involved in subsequent pregnancies and advising careful monitoring and risk management strategies during labor and delivery.

Further Reading and Resources

• Read the full study at https://doi.com/10.29328/journal.cjog.1001007.
• For more on similar studies, explore our articles on cesarean delivery risks and maternal health at https://www.obstetricgynecoljournal.com/.

Call-to-Action Explore more studies on maternal health and obstetric care at https://www.obstetricgynecoljournal.com/ and share your thoughts in the comments below!

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