Impact of multiple cesarean deliveries on maternal morbidity: A systematic review

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159 Citations (Scopus)

Abstract

Objective: The purpose of this study was to determine the impact of increasing numbers of cesarean deliveries on maternal morbidity. This study was performed for the 2010 National Institutes of Health Consensus Development Conference on Vaginal Birth After Cesarean: New Insights. Study Design: We conducted a systematic review and metaanalysis of observational studies. Results: Twenty-one studies (2,282,922 deliveries) were included. The rate of hysterectomy, blood transfusions, adhesions, and surgical injury all increased with increasing number of cesarean deliveries. The incidence of placenta previa increased from 10/1000 deliveries with 1 previous cesarean delivery to 28/1000 with

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume205
Issue number3
DOIs
StatePublished - Sep 2011

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Vaginal Birth after Cesarean
Consensus Development Conferences
Placenta Previa
Intraoperative Complications
National Institutes of Health (U.S.)
Hysterectomy
Blood Transfusion
Observational Studies
Mothers
Morbidity
Incidence

Keywords

  • maternal morbidity
  • multiple cesarean deliveries
  • previa

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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title = "Impact of multiple cesarean deliveries on maternal morbidity: A systematic review",
abstract = "Objective: The purpose of this study was to determine the impact of increasing numbers of cesarean deliveries on maternal morbidity. This study was performed for the 2010 National Institutes of Health Consensus Development Conference on Vaginal Birth After Cesarean: New Insights. Study Design: We conducted a systematic review and metaanalysis of observational studies. Results: Twenty-one studies (2,282,922 deliveries) were included. The rate of hysterectomy, blood transfusions, adhesions, and surgical injury all increased with increasing number of cesarean deliveries. The incidence of placenta previa increased from 10/1000 deliveries with 1 previous cesarean delivery to 28/1000 with",
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