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Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients

INTRODUCTION: Cesarean section (CS) is a surgical procedure that often saves the lives of both the mother and the baby, while a previous CS is one of the main indications for cesarean delivery in current pregnancy. AIM: Our aim was to determine the surgical and obstetrical outcomes and complication...

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Autores principales: Alshehri, Khalid A., Ammar, Ahmed A., Aldhubabian, Meshal A., Al-Zanbaqi, Mohammed S., Felimban, Ahyad A., Alshuaibi, Motaz K., Oraif, Ayman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690310/
https://www.ncbi.nlm.nih.gov/pubmed/31452637
http://dx.doi.org/10.5455/msm.2019.31.119-124
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author Alshehri, Khalid A.
Ammar, Ahmed A.
Aldhubabian, Meshal A.
Al-Zanbaqi, Mohammed S.
Felimban, Ahyad A.
Alshuaibi, Motaz K.
Oraif, Ayman
author_facet Alshehri, Khalid A.
Ammar, Ahmed A.
Aldhubabian, Meshal A.
Al-Zanbaqi, Mohammed S.
Felimban, Ahyad A.
Alshuaibi, Motaz K.
Oraif, Ayman
author_sort Alshehri, Khalid A.
collection PubMed
description INTRODUCTION: Cesarean section (CS) is a surgical procedure that often saves the lives of both the mother and the baby, while a previous CS is one of the main indications for cesarean delivery in current pregnancy. AIM: Our aim was to determine the surgical and obstetrical outcomes and complication for the mother and the neonate after 4 or more CSs and compare it with mothers who had less than 4 previous CSs. METHODS: This case-control study was conducted by reviewing the records of all women who underwent multiple CSs from 2013 to 2018. Our study group comprised of 394 women who had 4 or more CSs, and our control group comprised of similar number of women who had previous history of two or three CSs. RESULTS: A total of 788 patients were enrolled in our study. We found that adhesions were the most common complications in our study group with a considerable increase in number of both moderate and severe adhesions in the study group compared to the controls with p-value of <0.001. CONCLUSION: Increasing number of CSs leads to an increase of the complications risk. Among the complications, adhesions were the most common in our study group, followed by intraoperative bleeding.
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spelling pubmed-66903102019-08-26 Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients Alshehri, Khalid A. Ammar, Ahmed A. Aldhubabian, Meshal A. Al-Zanbaqi, Mohammed S. Felimban, Ahyad A. Alshuaibi, Motaz K. Oraif, Ayman Mater Sociomed Original Paper INTRODUCTION: Cesarean section (CS) is a surgical procedure that often saves the lives of both the mother and the baby, while a previous CS is one of the main indications for cesarean delivery in current pregnancy. AIM: Our aim was to determine the surgical and obstetrical outcomes and complication for the mother and the neonate after 4 or more CSs and compare it with mothers who had less than 4 previous CSs. METHODS: This case-control study was conducted by reviewing the records of all women who underwent multiple CSs from 2013 to 2018. Our study group comprised of 394 women who had 4 or more CSs, and our control group comprised of similar number of women who had previous history of two or three CSs. RESULTS: A total of 788 patients were enrolled in our study. We found that adhesions were the most common complications in our study group with a considerable increase in number of both moderate and severe adhesions in the study group compared to the controls with p-value of <0.001. CONCLUSION: Increasing number of CSs leads to an increase of the complications risk. Among the complications, adhesions were the most common in our study group, followed by intraoperative bleeding. AVICENA, d.o.o., Sarajevo 2019-06 /pmc/articles/PMC6690310/ /pubmed/31452637 http://dx.doi.org/10.5455/msm.2019.31.119-124 Text en © 2019 Khalid A. Alshehri, Ahmed A. Ammar, Meshal A. Aldhubabian, Mohammed S. Al-Zanbaqi, Ahyad A. Felimban, Motaz K. Alshuaibi, Ayman Oraif http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Alshehri, Khalid A.
Ammar, Ahmed A.
Aldhubabian, Meshal A.
Al-Zanbaqi, Mohammed S.
Felimban, Ahyad A.
Alshuaibi, Motaz K.
Oraif, Ayman
Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title_full Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title_fullStr Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title_full_unstemmed Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title_short Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients
title_sort outcomes and complications after repeat cesarean sections among king abdulaziz university hospital patients
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690310/
https://www.ncbi.nlm.nih.gov/pubmed/31452637
http://dx.doi.org/10.5455/msm.2019.31.119-124
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