Multiple repeat cesarean sections – incidence and consequences: a review of 3 years in a tertiary hospital experience

Paulina Blotnienė1,2, Viktorija Žitkutė1,2,  Jelena Volochovič1,2,  Gintautas Domža1,2

1Vilnius University hospital, Santaros clinic, Obstetrics and Gynecology center, Santariskiu street 2, LT-08406 Vilnius, Lithuania

2Vilnius University, Faculty of Medicine, M. K. Ciurlionio street 21, LT-03101 Vilnius, Lithuania



Background and aim. In this study, we aimed to investigate the fetal and maternal results of multiple cesarean sections, due to cesarean section procedure importance in terms of probable intraoperative and postoperative complications. Materials and methods. A retrospective electronic health records data analysis was conducted in the tertiary hospital in Lithuania during the period 2013-2017. 655 women who underwent at least one cesarean at one fetus were selected. Results. Women in group II-IV had a significantly higher mean age at birth, gravidity, parity than women at group I. Mean gestational age was lower in groups II and III (p<0.001). Women with 4 previous cesarean sections have a combined 3.18 higher odds to give birth prematurely than women with 1 (p = 0.002). Conclusion.  During the consultation of women who had a previous cesarean section and planning a repeat cesarean section, we have to take this into consideration and the patient has to be informed about increase in poorer outcomes.


Keywords: multiple cesareans section; optimal care after previous cesarean section; perioperative risk; premature birth.