Repeated caesarean sections

SummaryPregnancies after repeated caesarean sections are often considered to have increased maternal and fetal risks because of the assumed fragility of the scarred uterus. A group of 103 pregnant women who had more than three uterine scars was studied and compared to 12l pregnant women who were delivered by a third caesarean section during the same period. The pregnancy outcome and complications during pregnancy, intra-operative and postoperative variables were studied. No statistical difference was found between the two groups. The complication rate is low even in repeated caesarean sections. Thus there is no place for an arbitrary limitation of the number of caesarean sections. Advice should be based on the apparent condition of the uterus during the last operation.