Association of Previous Cesarean Delivery With Surgical Complications After a Hysterectomy Later in Life - JAMA

Sofie A. I. Lindquist, MD1; Neel Shah, MD, MPP2; Charlotte Overgaard, PhD1; et al Christian Torp-Pedersen, MD, DMSc1,3; Karin Glavind, MD4; Thomas Larsen, MD4; Avery Plough, BA2; Grace Galvin, MPH2; Aage Knudsen, MD, DMSc4 Author Affiliations Article information JAMA Surg. Published online August 9, 2017. doi:10.1001/jamasurg.2017.2825

Having a previous cesarean delivery significantly increased the risk of reoperation, perioperative and postoperative complications, and blood transfusion among women undergoing a hysterectomy later in life. Furthermore, cesarean delivery increased a woman’s risk of open surgery for a subsequent hysterectomy. The results support policies and clinical efforts to prevent cesarean deliveries that are not medically indicated.

http://jamanetwork.com/journals/jamasurgery/fullarticle/2647250