Pregnancy with previous caesarean section: an overview of adverse fetomaternal sequelae

With the sky rocketing caesarean section rates an increasing number of women face the issue of mode of delivery in their current pregnancy. The Caesarean section epidemic is a reason for immediate concern and deserves serious international attention. The main concern in cases of pregnancy with scarred uterus is that it might end up in rupture, leading to severe maternal and perinatal morbidity and mortality. The presence of a CS scar affects the site of implantation and the distance between implantation site and the scar is related to the risk of spontaneous abortion, scar dehiscence and morbid adherent placenta. Apart from scar related complications there are other morbidities related to post caesarean deliveries like scar pregnancy, traumatic postpartum hemorrhage, dense abdominal adhesions, rectus sheath hematoma, UTI, cervical tear, adherent bladder and thinned lower uterine segment. In the management of patient with previous caesarean section, regular and intensive antenatal surveillance is required. Proper ABSTRACT