SEQUELAE OF REPEAT CESAREAN-SECTIONS

Objectives: To study and analyze the factors related to repeat cesarea n section and to highlight the problems that may be associated with it . Methods: The study was carried out in the Department of Obstetrics a nd Gynaecology, King Khalid University Hospital, Riyadh, Saudi Arabia, and involved 395 patients who had had two or more previous cesarean s ections prior to the current pregnancy. Various factors which may be a ssociated with repeat cesarean sections, as well as the outcome of the operations, were assessed and analyzed. The chi(2)-test and other ana lyses were used to examine the association between the number of cesar ean sections and the various variables. Results: Four or more previous cesarean sections was significantly associated with dense adhesions. On the other hand, height, parity, antenatal clinic attendance, postop erative complications, fetal weight and fetal outcome had no significa nt effect on, nor influenced, the multiplicity of cesarean sections. C onclusion: No specific risk is associated with repeat cesarean section s that is not normally associated with single cesarean sections.