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Third Cesarean Section: Risks, Adhesions & Pregnancy Concerns


Question
I have had 2 previous caesarean sections and we are looking to have a third and final child - via caesarean section. I have found my operation report from my second C.S which states I had dense omental adhesions, paper thin lower segment and bladder adhesions.
Do any of these things rule out having a third child? What additional risks to pregnancy / surgery do these things pose?

Answer
Amanda
It will be a difficult Cesarean section. The main complication will be placenta accreta |abnormal placentation" which may lead to hysterectomy at the time of the Cesarean. Others include uterine rupture and that is why your doctor will deliver you 2-3 weeks earlier than the expected time. Postpartume hemorrhage also is a possibility.

The good is that the outcome is usually good (not always) with an experienced obstetrician even if hysterectomy is performed.

Good Luck