title: Multiple repeat caesarean deliveries: do they increase maternal and neonatal morbidity?
abstract: OBJECTIVE
  The aim of the present study is to evaluate the effects of the increased number of caesarean deliveries (CDs) in cases of multiple repeat caesarean deliveries (MRCDs) on maternal and neonatal morbidity.
  
  
  METHODS
  MRCDs admitted to our hospital between January 2013 and September 2014 were analysed retrospectively. A total number of 1133 women were included in the study and were divided into 4 groups. Group 1: second CDs (n = 329); Group 2: third CDs (n = 225); Group 3: fourth CDs (n = 447); Group 4: fifth CDs (n = 132). The clinical, demographic, intraoperative and postoperative data of the patients were registered upon the review of patient files.
  
  
  RESULTS
  The differences among the groups were found to be statistically significant in terms of mean maternal age, gravida, APGAR (Activity, Pulse, Grimace, Appearance, Respiration) scores, hospital stay and operation time. In addition, the difference was also statistically significant for severe adhesion, bladder injury and premature birth. No statistically significant difference was observed among the groups with respect to placenta previa, placenta accreta, caesarean hysterectomy, uterine scar rupture.
  
  
  CONCLUSIONS
  According to our findings, MRCDs seem to increasing the maternal and neonatal morbidity even though they are not life-threatening.
authors.affiliation: a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Senem
authors.initials: S
authors.lastname: Yaman Tunc
authors.affiliation: a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Agacayak
authors.affiliation: b Department of Obstetrics and Gynecology , School of Medicine, Harran University , Sanliurfa , Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Sak
authors.affiliation: c Department of Obstetrics and Gynecology , School of Medicine, Fatih University , Istanbul , Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Basaranoglu
authors.affiliation: d Department of Obstetrics and Gynecology , Memorial Hospital , Diyarbakir , Turkey , and.
authors.forename: Neval Yaman
authors.initials: NY
authors.lastname: Goruk
authors.affiliation: a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Turgut
authors.affiliation: e Department of Obstetrics and Gynecology , Private Batman Dunya Hospital , Batman , Turkey.
authors.forename: Hayrettin
authors.initials: H
authors.lastname: Tay
authors.affiliation: a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Evindar
authors.initials: E
authors.lastname: Elci
authors.affiliation: a Department of Obstetrics and Gynecology , School of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Talip
authors.initials: T
authors.lastname: Gul
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000009:adverse effects* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007431:Intraoperative Complications / Q000453:epidemiology*; D008428:Maternal Mortality; D011247:Pregnancy; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology
keywords: Caesarean delivery; maternal morbidity; neonatal morbidity