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