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Risks of Caesarean Delivery summarised
Max Brinsmead MB BS PhD May 2015
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Risks of Caesarean Delivery
Difficult to quantify because: Most studies do not distinguish between elective and emergency operations The reason for the CS needs to be considered Some events are rare The question will only be resolved by: A randomised trial With long term follow up
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More likely with Caesarean birth No Difference whether CS or Vaginal
More likely with Vaginal Birth Hospital stay 2-fold Postpartum haemorrhage Perineal pain 2.5-fold Intensive care 9-fold Endometritis Urinary incontinence 1.6-fold Death 2-10 fold Genital tract injury Uterovaginal prolapse 2-fold Bladder or Ureter damage 30-fold Faecal incontinence Hysterectomy 40-fold Postnatal depression Thromboembolism 4 – 16 fold Back pain Placenta previa in next pregnancy 2-fold Dyspareunia Stillbirth in next pregnancy 2-fold Placenta accreta
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