Disadvantages of Elective Repeat Caesarean Delivery

What are the disadvantages of elective repeat caesarean delivery?Labour Delivery

The disadvantages of elective repeat cesarean delivery include:

  • A longer and possibly more difficult operation
    A repeat cesarean delivery usually takes longer than the first operation because of scar tissue. Scar tissue may also make the operation more difficult and can result
    in damage to the bowel or bladder. There are rare reports of accidental cutting of the baby at cesarean delivery.
  • Chance of a blood clot (thrombosis)
    A blood clot that occurs in the lung is called a pulmonary em-bolus. A pulmonary em-bolus can be life threatening (death occurs in less than one in 1000 cesarean deliveries).
  • There is a longer recovery period
    You may need extra help at home and will be unable to drive for about six weeks after delivery.
  • Breathing problems for your baby
    Breathing problems are quite common after cesarean delivery and usually do not last long. Occasionally, the baby will need to go to the special care baby unit. Between three to four in 100 babies (3–4%) born by planned cesarean delivery have breathing problems compared with two to three in 100 (2–3%) following VBAC. Waiting until seven days before the due date minimizes this problem.
  • A need for elective Cesarean delivery in future pregnancies
    More scar tissue occurs with each cesarean delivery. This increases the possibility of the placenta growing into the scar making it difficult to remove at cesarean (placenta accreta or percreta). This can result in bleeding and may require a hysterectomy. All serious risks increase with every cesarean delivery you have.