A case control study of repeated multiple cesarean sections of four and more as compared to two or three previous cesareans

Abstract EN

To test the concept that increasing the number of repeated cesarean deliveries increases the maternal and neonatal risks, a case control study comparing patients delivered by repeat cesarean sections following more than 3 previous cesareans (Group A) with those following 2 or 3 previous cesareans (Group B) was conducted at King Abdulaziz University Hospital.

The maternal characteristics, associated complications, and the neonatal outcome were compared between the two groups.

Statistical analyses were done with Statistical Package for the Social Sciences for Windows 10 (SPSS Inc., Chicago, IL), and logistic regression for clinical variables by means of SAS.

98 patients (Group A) were compared with 101 patients (Group B).

Whereas, more patients of Group A required blood transfusions than patients in Group B (P < 0.01), all other post-operative maternal morbidity, major operative complications, and neonatal outcome were not statistically different between the two groups (P > 0.05 in all variables).

Although there was a clinical trend towards increasing the risk to mother or fetus by increasing the number of cesareans, this was not statistically significant.