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BJOG. 2004 Jun;111(6):561-3.

Outcome after a high number (4-10) of repeated caesarean sections.

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Family Federation of Finland, Oulu Clinic, Finland.



To evaluate outcomes in caesarean sections repeated several times.


Sixty-four women had had four or more (up to 10) caesarean sections.


The outcomes of these operations N= 149, study group) were compared with other caesarean sections.


A quarter of the women in the study group complained of low abdominal pains during the late pregnancy. A thin or fenestrated isthmic myometrial layer was observed in 55% of their operations. Abnormal placentation with an increased risk of major operative complications occurred more often in the study group. No differences in post-operative complications or perinatal outcome emerged between the groups.


Thus, no definitive upper limit for the number of caesarean sections per individual woman can be given.

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