Repeat cesarean delivery
- Vincenzo Berghella, MD
Vincenzo Berghella, MD
- Director, Maternal-Fetal Medicine
- Professor, Obstetrics and Gynecology
- Thomas Jefferson University
Over 90 percent of United States women who undergo cesarean delivery have a repeat procedure in subsequent pregnancies and approximately one-third of cesarean deliveries in the United States are repeat operations . Issues specific to repeat cesarean delivery will be discussed here. Primary cesarean delivery, issues common to both primary and repeat cesareans, and trial of labor after a previous cesarean delivery (TOLAC) are reviewed separately.
●(See "Cesarean delivery: Technique".)
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- Previous low transverse uterine incision
- Previous low vertical incision
- Previous classical incision
- Unknown location of previous incision
- Cesarean delivery because of prior myomectomy or prior uterine rupture
- PREOPERATIVE ISSUES
- OPERATIVE ISSUES
- IS THERE AN UNSAFE NUMBER OF REPEAT CESAREAN DELIVERIES?
- Complications relating to abnormal placentation
- Complications relating to adhesion formation
- Complications relating to trial of labor
- Other long-term complications
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS