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https://www.uptodate.com/contents/repeat-cesarean-delivery#!
Issues specific to repeat cesarean delivery will be discussed here. Primary cesarean delivery, issues common to both primary and repeat cesareans, and trial of labor after a previous cesarean delivery are reviewed separately. (See "Choosing the route of delivery after cesarean birth".)
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/01/Cesarean%20Delivery%20on%20Maternal%20Request
Given the high repeat cesarean delivery rate, patients should be informed that the risks of placenta previa, placenta accreta spectrum, and gravid hysterectomy increase with each subsequent cesarean delivery. Further research is needed to provide direct evidence to facilitate patient counseling.
https://www.mayoclinic.org/tests-procedures/c-section/expert-answers/c-sections/faq-20058380
However, research hasn't established the exact number of repeat C-sections considered safe. Women who have multiple repeat cesarean deliveries are at increased risk of: Bladder and bowel injuries. The risk of a bladder injury increases to greater than 1 percent after a third cesarean delivery.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
What organizational actions are necessary for the primary cesarean delivery rate to safely decline? A number of approaches are needed to reduce the primary cesarean delivery rate, which in turn would lower the repeat cesarean delivery rate. Although national and regional organizations can take the lead in setting the agenda regarding the safe ...
https://www.webmd.com/baby/news/20120313/are-repeat-c-sections-safer-than-natural-birth
Mar 13, 2012 · Planned repeat cesarean section is linked to healthier outcomes among mothers and babies compared to vaginal birth after cesarean, or VBAC, in a new study from Australia.Author: Salynn Boyles
https://www.ncbi.nlm.nih.gov/pubmed/9282704
Neonatal morbidity after elective repeat cesarean section and trial of labor. Hook B(1), Kiwi R, Amini SB, Fanaroff A, Hack M. Author information: (1)Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.Author: Brenda Hook, Robert Kiwi, Saeid B. Amini, Avroy Fanaroff, Maureen Hack
https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/aogs.13447
Aug 22, 2018 · Women with a first unplanned cesarean had higher risk of repeat cesarean compared with women with elective first cesarean (35.7% vs 20.7%, adjusted RR 1.64, 95% CI 1.43‐1.89). In women with a cesarean due to dystocia, increasing cervical dilation in first labor decreased the risk of repeat cesarean in second labor.Author: Charlotte Lindblad Wollmann, Mia Ahlberg, Sissel Saltvedt, Kari Johansson, Charlotte Elvander, Olof ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3127233/
Results. Out of 24,077 women with repeat cesarean deliveries at or after 37 0/7 weeks’ gestation in the Eunice Kennedy Shriver NICHD MFMU Network Cesarean Registry, 13,258 women were delivered by elective cesarean section, prior to labor, and in the absence of medical or obstetric indications for delivery prior to 39 weeks.Author: Alan T N Tita, Yinglei Lai, Mark B. Landon, Catherine Y. Spong, Kenneth J. Leveno, Michael W. Varner...
https://www.nejm.org/doi/full/10.1056/NEJMoa0803267
Since the vast majority of women with a previous cesarean delivery elect a repeat cesarean delivery, 13,14 since more than 25% of primary cesarean deliveries are performed before the onset of ...Author: Alan T N Tita, Mark B. Landon, Catherine Y. Spong, Yinglei Lai, Kenneth J. Leveno, Michael W. Varner...
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