Featured Research

from universities, journals, and other organizations

Higher risk of maternal complications/preterm deliveries for women undergoing multiple caesareans

Date:
October 31, 2012
Source:
Wiley
Summary:
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.

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 Oct. 31 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."


Story Source:

The above story is based on materials provided by Wiley. Note: Materials may be edited for content and length.


Journal Reference:

  1. JR Cook, S Jarvis, M Knight, MK Dhanjal. Multiple repeat caesarean section in the UK: incidence and consequences to mother and child. A national, prospective, cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 2012; DOI: 10.1111/1471-0528.12010

Cite This Page:

Wiley. "Higher risk of maternal complications/preterm deliveries for women undergoing multiple caesareans." ScienceDaily. ScienceDaily, 31 October 2012. <www.sciencedaily.com/releases/2012/10/121031081610.htm>.
Wiley. (2012, October 31). Higher risk of maternal complications/preterm deliveries for women undergoing multiple caesareans. ScienceDaily. Retrieved October 2, 2014 from www.sciencedaily.com/releases/2012/10/121031081610.htm
Wiley. "Higher risk of maternal complications/preterm deliveries for women undergoing multiple caesareans." ScienceDaily. www.sciencedaily.com/releases/2012/10/121031081610.htm (accessed October 2, 2014).

Share This



More Health & Medicine News

Thursday, October 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Pregnancy Spacing Could Have Big Impact On Autism Risks

Pregnancy Spacing Could Have Big Impact On Autism Risks

Newsy (Oct. 1, 2014) A new study says children born less than one year and more than five years after a sibling can have an increased risk for autism. Video provided by Newsy
Powered by NewsLook.com
Robotic Hair Restoration

Robotic Hair Restoration

Ivanhoe (Oct. 1, 2014) A new robotic procedure is changing the way we transplant hair. The ARTAS robot leaves no linear scarring and provides more natural results. Video provided by Ivanhoe
Powered by NewsLook.com
Insertable Cardiac Monitor

Insertable Cardiac Monitor

Ivanhoe (Oct. 1, 2014) A heart monitor the size of a paperclip that can save your life. The “Reveal Linq” allows a doctor to monitor patients with A-Fib on a continuous basis for up to 3 years! Video provided by Ivanhoe
Powered by NewsLook.com
Attacking Superbugs

Attacking Superbugs

Ivanhoe (Oct. 1, 2014) Two weapons hospitals can use to attack superbugs. Scientists in Ireland created a new gel resistant to superbugs, and a robot that can disinfect a room in minutes. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins