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Case series of multiple repeat caesarean sections: operative, maternal, and neonatal outcome

Alnoman, Abdullah et al.

The journal of maternal-fetal & neonatal medicine. Volume 29:Number 12 (2016); pp 1972-1976 -- Taylor & Francis

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  • Title:
    Case series of multiple repeat caesarean sections: operative, maternal, and neonatal outcome
  • Author: Alnoman, Abdullah;
    El-Khatib, Ziad;
    M S Almrstani, Ahmad;
    Walker, Mark;
    El-Chaar, Darine
  • Found In: The journal of maternal-fetal & neonatal medicine. Volume 29:Number 12 (2016); pp 1972-1976
  • Journal Title: The journal of maternal-fetal & neonatal medicine
  • Subjects: Infants (Newborn)--Diseases--Periodicals; Neonatology--Periodicals; Obstetrics--Periodicals; Perinatology--Periodicals; Cesarean sections--complications--maternal and neonatal--multiple--outcome; Dewey: 618.2
  • Rights: legaldeposit
  • Publication Details: Taylor & Francis
  • Abstract: Abstract:

    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.


  • Identifier: System Number: LDEAvdc_100035155990.0x000001; Journal ISSN: 1476-7058; 10.3109/14767058.2015.1071347
  • Publication Date: 2016
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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