What is it about?

The number of cesarean sections performed worldwide has been increasing over several decades. A cesarean section section in-labour can be necessary and life-saving, however, they can also affect a woman's future pregnancies. Specifically, it may increase the risk of late miscarriage (losing a pregnancy between 13 and 24 weeks) and preterm birth (when a baby is born too early). This clinical problem can be difficult to treat.

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Why is it important?

As cesarean sections are now one of the most common surgeries performed globally, understanding their long-term impact on women's health is crucial. With evidence suggesting that cesarean section in labour is associated with increased risk preterm birth, now is the right time for further research, improved clinical practices, and clearer communication between health care teams and patients.

Perspectives

This perspective highlights the association between in-labour cesarean section and preterm birth in future pregnancies. This problem may be caused by cervical cesarean damage. Clinicians and women both need to bear these possible risks when considering the potential merits of an in-labour cesarean section.

Laura van der Krogt
King's College London

Read the Original

This page is a summary of: Cervical cesarean damage as a growing clinical problem: The association between in-labour cesarean section and recurrent preterm birth in subsequent pregnancies, PLoS Medicine, December 2024, PLOS,
DOI: 10.1371/journal.pmed.1004497.
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