Document Detail

Cesarean delivery on request: reproductive consequences.
MedLine Citation:
PMID:  17011396     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of this review is to examine the long term reproductive health consequences of cesarean delivery on maternal request. FINDINGS: In the first delivery, cesarean delivery appears to hold small risk of reproductive complications compared to vaginal delivery. Primary cesarean delivery can affect subsequent pregnancies. The most serious reproductive health consequences of prior cesarean delivery occur in subsequent pregnancies. These complications include: unexplained fetal death apparent from 34 weeks gestation onward; abnormalities of placentation which increase with a greater number of cesarean deliveries; risk of uterine rupture and uterine scar dehiscence. CONCLUSIONS: Primary cesarean delivery carries risk for subsequent pregnancies. While the studies reviewed do not specifically refer to cesarean delivery on request, it is likely that the results would be similar. Overall, in considering the specific question of long term reproductive health, the risks of maternal request cesarean delivery outweigh the benefits.
Melissa Gilliam
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  30     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2007-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  257-60     Citation Subset:  IM    
Section, Family planning and contraceptive research, Department of Obstestrics and Gynecology, The University of Chicago, Chicago, IL 60637, USA.
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MeSH Terms
Cesarean Section / adverse effects*
Cohort Studies
Fetal Death
Odds Ratio
Patient Participation*
Pregnancy Complications / etiology*
Retrospective Studies
Risk Factors
Surgical Procedures, Elective / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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