ABSTRACT The rising global cesarean section (CS) rates, particularly in low- and middle-income countries, pose significant implications for maternal and neonatal health in subsequent pregnancies. Women with a prior CS are at increased risk for complications such as uterine rupture, placenta accreta spectrum, and postpartum hemorrhage. This review summarizes the existing evidence on maternal and perinatal outcomes after previous CS, synthesizing findings from major studies and highlighting observational data from a tertiary care center in India. Insights into decision-making surrounding trial of labor after cesarean versus elective repeat cesarean delivery are discussed. The review underscores the importance of individualized care, informed decision-making, and institutional preparedness to optimize the outcomes in subsequent pregnancies after CS.
Salony et al. (Wed,) studied this question.
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