Catastrophic complications of previous cesarean section

Cynthia Chazotte, Wayne R. Cohen

Research output: Contribution to journalArticle

130 Scopus citations

Abstract

Of 711 patients who were delivered after one or more previous cesarean sections, 17 (2.4%) had an extremely serious complication. Uterine rupture and placenta previa or placenta accreta with accompanying hemorrhage were the major contributors to mortality and major morbidity. Nine uterine ruptures occurred, including five associated with labor with a low transverse uterine scar and one with an unknown scar (1.4% of trials of labor). There were two cases of placenta previa and five with varying degrees of placenta accreta. The nature and frequency of the observed complications emphasize the potentially serious remote consequences of cesarean section.

Original languageEnglish (US)
Pages (from-to)738-742
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume163
Issue number3
DOIs
StatePublished - Sep 1990

Keywords

  • Previous cesarean
  • cesarean complications
  • placenta accreta
  • uterine rupture

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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