Cesarean Section Outcomes in Multiparous Women

Long-term Complications

• The World Health Organization reports that long-term complications following cesarean section include chronic wound pain (15.4% at 3-6 months, 11.5% at 6-11 months, 11.2% at ≥12 months) and secondary infertility (43%) 1
• The risk of placenta accreta in subsequent pregnancies increases after cesarean section, with 12.9 per 10,000 after one cesarean section, increasing to 230 per 10,000 after five or more cesarean sections 2

Regional Variations

• Cesarean section rates vary widely between countries and healthcare settings, with the World Health Organization noting significant variations 1
• The risk of uterine rupture after cesarean section varies significantly between countries, ranging from 8 to 68 per 10,000 births in women with previous cesarean section, with a WHO multicountry survey reporting an incidence of 45 per 10,000 births 1