Navigation Links
Higher risk of maternal complications/preterm deliveries for women undergoing multiple cesareans
Date:10/31/2012

The risk of maternal complications and preterm deliveries is significantly higher for women undergoing their fifth or more caesarean section, finds a new study published today (31 October) in BJOG: An International Journal of Obstetrics and Gynaecology.

The study explored the incidence of UK women having Multiple Repeat Caesarean Sections (MRCS), defined as five or more, and the outcomes for them and their babies compared to women having their second to fourth caesarean section.

The researchers, from Imperial College Healthcare NHS Trust and the University of Oxford , estimate that the UK incidence of MRCS is 1.2 per 10,000 maternities. The study compared 94 women who were undergoing MRCS with 175 women having fewer caesarean sections.

The results show that women undergoing MRCS experience higher incidences of major obstetric haemorrhage (where blood loss exceeded 1500 mls), blood transfusions and admissions to a critical care setting.

In the MRCS group 18% of women had a major obstetric haemorrhage compared to 0.6% in women with fewer caesarean sections. In addition, 17% of women in the MRCS group received a blood transfusion compared to 1% in the comparison group.

The study also found that women in the MRCS group were five times more likely to have a preterm delivery with 24% delivering prior to the 37-week gestation period, compared to 5% from the comparison group.

Furthermore the study looked at women within the MRCS group who were also diagnosed with placenta praevia and/or placenta accreta, conditions where the placenta is abnormally positioned in the womb during pregnancy.

Of the MRCS group, 18% had either placenta praevia or accreta. Within this sub-group there was a further increase in maternal complications including major obstetric and postpartum haemorrhage, which resulted in 50% of the women requiring a hysterectomy and two thirds needing critical care after delivery.

Dr Mandish Dhanjal, Department of Obstetrics & Gynaecology, Imperial College Healthcare NHS Trust and co-author of the research said:

"Multiple repeat caesarean sections are an unusual occurrence and for most women the outcomes are very good. However there is a higher risk of maternal complications and preterm delivery compared to women having fewer caesareans.

"We also found that these risks were greatest in women undergoing MRCS who also had placenta praevia and placenta accreta. Obstetricians should be aware of this high risk group of women and work in multidisciplinary teams in order to optimise their management."

John Thorp, BJOG Deputy-Editor-in-Chief added:

"It is important that both women and obstetricians are aware of the complications associated with repeat caesarean sections. All caesarean section procedures carry risks, some that are life-threatening. Larger studies are needed to look at this in more detail before firm recommendations are made about the maximum number of caesarean sections which should be performed."


'/>"/>
Contact: Caitlin Walsh
cwalsh@rcog.org.uk
Wiley
Source:Eurekalert

Related medicine news :

1. Higher risk of maternal complications/preterm deliveries for women undergoing multiple caesareans
2. Women with lupus have a higher risk for preeclampsia
3. Obese Teens Face Higher Risk for Kidney Disease: Study
4. Smokers at Higher Risk of Another Stroke: Study
5. Back to school: Is higher education making you fat?
6. Hispanics May Face Higher Risk for Type 2 Diabetes: Study
7. Rare brain blood vessel disease carries higher risks in females
8. Hispanic lung cancer patients have higher survival than non-Hispanic white patients
9. Standard chemotherapy provides higher survival rate than experimental in lung cancer patients
10. Ex-NFL Players at Higher Risk for Alzheimers, ALS: Study
11. Irregular Heartbeat May Pose Higher Stroke Risk for Women Than Men
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... , ... First Choice Emergency Room , the largest network of independent ... Director of its new Mesquite-Samuell Farm facility. , “We are pleased to announce ... Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether ... latter, setting the bar too high can result in disappointment, perhaps even self-loathing. However, ... their goal. , Research from PsychTests.com reveals that behind the tendency ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... ... 24, 2016 , ... The Haute Beauty Network, affiliated with ... as a prominent plastic surgeon and the network’s newest partner. , Dr. ... handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands by ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... -- Jazz Pharmaceuticals plc (Nasdaq: JAZZ ) ... Improvements Act of 1976, as amended ("HSR"), with respect ... Nasdaq: CPXX ) expired effective June 24, ... As previously announced on May 31, 2016, Jazz Pharmaceuticals ... which Jazz Pharmaceuticals has commenced a tender offer for ...
(Date:6/24/2016)... June 24, 2016  Global Blood Therapeutics, Inc. (GBT) ... developing novel therapeutics for the treatment of grievous ... the closing of its previously announced underwritten public ... the public offering price of $18.75 per share. ... offered by GBT. GBT estimates net proceeds from ...
(Date:6/24/2016)... 2016 Dehaier Medical Systems Ltd. (NASDAQ: ... markets and sells medical devices and wearable sleep respiratory ... strategic cooperation agreement with Hongyuan Supply Chain Management Co., ... June 20, 2016, to develop Dehaier,s new Internet medical ... Dehaier will leverage Hongyuan Supply Chain,s sales platform to ...
Breaking Medicine Technology: