Delivery After Previous Cesarean: Long-Term Maternal Outcomes

Most studies of cesarean morbidity focus on short term, rather than long term complications. However, women undergoing cesarean delivery are at increased risk for a chronic problems as well. These include pain and surgical adhesions, as well as a possible increased risk for infertility or sub-fertil...

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Bibliographic Details
Published in:Seminars in perinatology 2010-08, Vol.34 (4), p.258-266
Main Author: Silver, Robert M., MD
Format: Article
Language:English
Subjects:
abruption
cesarean hysterectomy
Cesarean Section, Repeat - adverse effects
Chronic Disease
chronic pain
Female
Humans
Hysterectomy - statistics & numerical data
Infertility, Female - epidemiology
Neonatal and Perinatal Medicine
Pain - epidemiology
Pelvic Pain - epidemiology
placenta accreta
Placenta Accreta - epidemiology
placenta previa
Postoperative Hemorrhage - epidemiology
Pregnancy
Pregnancy Outcome - epidemiology
Pregnancy, Ectopic - epidemiology
Risk Assessment
Tissue Adhesions - epidemiology
Vaginal Birth after Cesarean - adverse effects
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Summary:Most studies of cesarean morbidity focus on short term, rather than long term complications. However, women undergoing cesarean delivery are at increased risk for a chronic problems as well. These include pain and surgical adhesions, as well as a possible increased risk for infertility or sub-fertility and perinatal complications in subsequent pregnancies. The most serious risk for women undergoing multiple repeat cesarean deliveries is a dramatically increased risk for life threatening hemorrhage and morbidity in the setting of placenta accreta. This chapter outlines these long term risks of cesarean delivery so that they may be factored into the risk:benefit ratio for women considering vaginal birth after cesarean delivery (VBAC).
ISSN:0146-0005
1558-075X
DOI:10.1053/j.semperi.2010.03.006