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Long-term complications after caesarean section 

Long-term complications after caesarean section
Chapter:
Long-term complications after caesarean section
Author(s):

Eric Jauniaux

and Davor Jurkovic

DOI:
10.1093/med/9780198758563.003.0010
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date: 05 June 2020

The rapid rise in the number of caesarean deliveries has led to new iatrogenic long-term obstetric and gynaecologic complications, which are reviewed in this chapter. The main obstetric complications in pregnancies following a caesarean section include increased risks of unexplained stillbirth, placenta praevia, placenta accreta, and abruptio placentae. The risk of placenta praevia increases as the number of prior caesarean deliveries increases. The failure of the placenta to separate normally from the uterus during delivery in placenta accreta is associated with major post-partum haemorrhage; therefore, antenatal diagnosis of this condition is pivotal to ensure that delivery can be planned to occur in a tertiary care centre. Long-term gynaecological complications include a scar defect which can be associated with postmenstrual spotting, dysmenorrhoea, caesarean scar ectopic pregnancies, and pelvic adhesions which are associated with chronic pelvic pain and a decreased fertility rate.

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