Outcome after a high number (4–10) of repeated caesarean sections

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Abstract
Objective  To evaluate outcomes in caesarean sections repeated several times.Population  Sixty‐four women had had four or more (up to 10) caesarean sections.Methods  The outcomes of these operations N= 149, study group) were compared with other caesarean sections.Results  A quarter of the women in the study group complained of low abdominal pains during the late pregnancy. A thin or fenestrated isthmic myometrial layer was observed in 55% of their operations. Abnormal placentation with an increased risk of major operative complications occurred more often in the study group. No differences in post‐operative complications or perinatal outcome emerged between the groups.Conclusion  Thus, no definitive upper limit for the number of caesarean sections per individual woman can be given.

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