PREGNANCY-BIRTH Messages for October, 2000: Re: ? in regards to number of c-sections possible

Re: ? in regards to number of c-sections possible

From: anonymous@obgyn.net
Wed, 18 Oct 2000 08:27:00 -0500 (CDT)

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In reply to: in: "? in regards to number of c-sections possible"

At Tue, 17 Oct 2000, in wrote: >
>do doctors cringe at patients who have more than 3 c-sections? Is it ok
>for someone to have 5 c-sections? If someone feels GREAT after having 4
>c-sections what are the chances of something going wrong down the road
>affecting her health in respect to the c-sections.
>For example, I've heard women who have large babies vaginally can have
>uterine prolapse later on as a result of.
>I have had 4 c-sections without any complications, however between the
>3rd and 4th pregnancies I had a pregnancy where my uterine scar dehisced
>at 20 weeks. "looked like a zipper" is what I was told and required
>emergency surgery and blood transfusions but the 4th pregnancy
>progressed to 38+ weeks and was a scheduled c-section with out problems.
>Input?
>
>--
>dd
>

Yes, we do cringe. The surgeries are tough, the complication rate ascends steadily with each C/S, and a previous dihiscence scares the boo-hooies out of me. There is no fixed maximum number of C/S, but there are considerable risks involved in such circumstances. I can't really think of any long term consequences beyond the sequelae of the surgical complications, such as Hepatitis C from a blood transfusion, or permanent bladder damage from an intraoperative injury as so on.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

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