If the scar includes the upper segment of the uterus,
the repeat rupture rate is reported to be as high as 32 % (131, 132) with the most recent report estimating the rate of recurrence to be 15 % (133).
They may develop postpartum depression or post-traumatic stress syndrome.9, 20,25,31 Some mothers express dominant feelings of fear and anxiety about their cesarean as long as five years later.16 Women having cesarean sections are less likely to decide to become pregnant again.16 As is true of all abdominal surgery, internal scar tissue can cause pelvic pain, pain during sexual intercourse, and bowel problems.Reproductive consequences compared with vaginal birth include increased infertility, 16 miscarriage, 15 placenta previa (placenta overlays the cervix), 19 placental abruption (the placenta detaches partially or completely before the birth), 19 and premature birth.8 Even in women planning
repeat cesarean, uterine
rupture occurs at a
rate of 1 in 500 versus 1 in 10,000 in women with no uterine scar.27