The effect of increased number of cesarean on maternal and fetal outcomes

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dc.contributor.authorCintesun, Ersin
dc.contributor.authorAtakan, Al Ragip
dc.date.accessioned2020-03-26T19:42:52Z
dc.date.available2020-03-26T19:42:52Z
dc.date.issued2017
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives:The aim of this study was to evaluate the effects of multiple cesarean deliveries (CDs) on maternal fetal morbidity and mortality rates. Material and methods: This retrospective study included a total of 1,506 patients who underwent multiple CDs between January 2006 and May 2014. The patients were divided into two groups. One group consisted of patients with four or more CDs In = 444) and a control group of patients with three CDs (n=1,062). Both groups were analyzed for demographics, complications from multiple cesarean deliveries and perinatal outcomes. Results: The mean age was higher in the study group (p < 0.001). Dense adhesion (p < 0.001), demand for tubal ligation (p < 0.001), the requirement of pelvic drainage (p < 0.001), duration of hospitalization (p < 0.001) and the requirement for blood transfusion (p=0.03) was also significantly higher in the study group. Hemoglobin levels (p = 0.002) were significantly higher in the control group on the second postoperative day. Regarding perinatal morbidity; umbilical artery pH results (p = 0.003) were significantly lower in the study group. There was no significant difference in the maternal and fetal mortality rates between both groups. Conclusions: According to our study results, an increase in the number of cesarean sections increases maternal and fetal morbidity rates significantly. Therefore, we recommend decreasing the rate of primary cesarean deliveries by encouraging vaginal birth after CD. We also advocate the use of permanent contraceptive methods in patients with a high number of CD's. Further large-scale prospective results are required to establish a definitive conclusion.en_US
dc.identifier.doi10.5603/GP.a2017.0110en_US
dc.identifier.endpage619en_US
dc.identifier.issn0017-0011en_US
dc.identifier.issue11en_US
dc.identifier.pmid29303215en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage613en_US
dc.identifier.urihttps://dx.doi.org/10.5603/GP.a2017.0110
dc.identifier.urihttps://hdl.handle.net/20.500.12395/35545
dc.identifier.volume88en_US
dc.identifier.wosWOS:000417972500006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVIA MEDICAen_US
dc.relation.ispartofGINEKOLOGIA POLSKAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcesarean deliveryen_US
dc.subjectintraoperative complicationsen_US
dc.subjectmorbidityen_US
dc.subjectpostoperative complicationsen_US
dc.titleThe effect of increased number of cesarean on maternal and fetal outcomesen_US
dc.typeArticleen_US

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