Repeat Cesarean Sections: Maternal and Neonatal Outcomes and Complications

Background & Objective: Although the safety of cesarean sections has increased, there are still considerations, especially for women with a history of repeated cesarean sections. This study was conducted with the aim of investigating maternal and neonatal outcomes in candidates for cesarean sections due to repeat cesarean sections according to the number of previous cesarean sections.Materials & Methods: This prospective descriptive study was conducted from April ۲۰۲۰ to June ۲۰۲۲ at Taleghani Hospital. All candidates for cesarean sections due to repeated cesarean sections were included in the study. According to the number of previous cesarean sections, they were divided into three groups. Statistical analysis was performed with Kruskal-Wallis, Chi-squared and Fisher’s exact tests. A P value < ۰.۰۵ indicated statistical significance.Results:  A total of ۳۴۵ women were included in the study. The results of this study showed that these three groups were significantly different in terms of duration of surgery (P<۰.۰۰۱), abnormal placental adhesion (۰.۰۱۲), and the presence of intraperitoneal adhesions (P<۰.۰۰۱), but there was not a significant difference in terms of other maternal and neonatal outcomes (P<۰.۰۵).Conclusion: The results of this study showed that an increase in the number of previous cesarean sections does not increase most maternal and neonatal complications during a current cesarean section. Of course, it should be noted that the number of women with a history of three or more previous cesarean sections was small in this study, and for this reason, more studies are needed.