Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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Patients with Repeat Caesarean Section

Patients with repeat cesarean section refer to women who have had one or more previous cesarean deliveries. That is, these women gave birth by cesarean section, not naturally, in their previous pregnancies. In this article, we have compiled for you what you need to know about patients with repeat cesarean sections.

What are the Risks of Repeat Caesarean Sections?

Patients with repeated cesarean sections need to be carefully evaluated regarding the delivery method in subsequent pregnancies. Factors such as the number of previous caesarean sections, the condition of the surgical incision site in the past, and the health status of the mother and baby may affect the delivery method used for the next birth. Each pregnancy is individual and therefore each woman’s situation is unique. Such decisions should be determined by detailed evaluation and communication with the doctor. Health care professionals carefully monitor and evaluate patients with repeat cesarean sections to determine the safest and most appropriate delivery method for mother and baby.

Repeated cesarean births may bring certain risks. These risks may vary depending on the condition of the previous surgical incision site and other pregnancy-related factors. We can list the risks of repeated cesarean section as follows:

• Uterine Rupture: Repeat cesarean births may increase the risk of a rupture in the uterus (uterine rupture) due to weakness or wound healing at the previous surgical incision site. Uterine rupture is a life-threatening condition and may require rapid medical attention.

• Placenta Problems: In repeated caesarean sections, the placement of the baby’s partner may change due to previous incisions in the uterine wall. This can cause pregnancy complications such as placenta previa (low positioning) and placental insertion anomaly (excessive adhesion of the placenta to the uterus), which can cause serious bleeding.

• Surgical Complications: Repeated surgical interventions increase the risk of surgical complications compared to natural births. Surgical site infections, bleeding, and other surgical problems may occur.

• Healing Process: Repeated cesareans may cause more surgical incisions and affect the healing process of the uterine tissue. This may also cause future births to become difficult.

Each pregnancy is individual and risks may vary depending on each woman’s unique health and previous cesarean births. When evaluating repeat cesarean births, healthcare professionals monitor them carefully and try to determine the most appropriate delivery method for the mother and baby. Proper treatment and follow-up are important to minimize risks, and therefore regular communication with healthcare professionals is important.

Why is Repeat Caesarean Section Done?

The term “repeat cesarean section” means that the same woman gives birth by cesarean section two or more times. Caesarean section is the surgical removal of the baby outside the uterus and is usually performed through a horizontal or vertical incision in the lower abdomen. Repeat cesarean section refers to the situation in which a similar approach is preferred in subsequent pregnancies because the woman has had a cesarean delivery in her previous pregnancies.

Repeat cesarean section may be preferred in cases where the birth canal (vaginal delivery route) in the womb is not suitable for the next birth due to a woman’s previous births or when the doctor does not deem a vaginal birth appropriate for other medical reasons.

How to Perform Repeat Caesarean Section?

A repeat caesarean section is usually performed through an incision over the previous incision. This is done to prevent further incisions along the birth path by following the scars of the previous birth and to facilitate the healing process.

Each woman’s pregnancy experience is individual and is determined by a number of factors, including the method of birth, the woman’s health, previous surgical interventions, the condition of the uterus and the condition of the baby. In case of repeated cesarean births, they need to be examined by a perinatologist to determine the risks that may arise during cesarean section.


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