C-section delivery associated with increased risk of complications from hysterectomy

August 09, 2017

Having a previous cesarean delivery significantly increased the risk of reoperation and complications among women undergoing a hysterectomy later in life, according to a study published by JAMA Surgery.

Cesarean delivery is the most common major surgery performed in the world, and the rate is rapidly increasing. The global average cesarean rate is estimated at 18.6 percent. The influence of cesarean deliveries on surgical complications later in life has been understudied. Sofie A.I. Lindquist, M.D., of Aalborg University, Aalborg, Denmark and colleagues conducted a study that used data from Danish nationwide registers on all women who gave birth for the first time between January 1993 and December 2012 and underwent a benign hysterectomy between January 1996 and December 2012.

Of the 7,685 women who met inclusion criteria for the study, 69 percent had no previous cesarean delivery, 22 percent had one cesarean delivery, and 9.4 percent had two or more cesarean deliveries. In total, 388 women (5 percent) had a reoperation within 30 days after a hysterectomy. Compared with women having only vaginal deliveries, women with one cesarean delivery had a 31 percent increased risk of reoperation after a hysterectomy; women with two or more cesarean deliveries had a 35 percent increased risk of reoperation. Surgical complications were more frequent in women with previous cesarean deliveries. Women having two or more cesarean deliveries were more likely to receive a blood transfusion.

The study notes some limitations, including the observational design, which does not allow for elimination of all potential confounding factors.

"The results support policies and clinical efforts to prevent cesarean deliveries that are not medically indicated," the authors write.
-end-
For more details and to read the full study, please visit the For The Media website.

(doi:10.1001/jamasurg.2017.2825)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

The JAMA Network Journals

Related Hysterectomy Articles from Brightsurf:

Comparing survival after minimally invasive hysterectomy or open surgery for early-stage cervical cancer
This study combined the results of 15 observational studies with 9,500 patients who underwent radical hysterectomy for early-stage cervical cancer to compare the risk of cancer recurrence and death associated with receiving minimally invasive versus open radical hysterectomy.

New study confirms superiority of open surgery for early-stage cervical cancer
A study led by researchers at Columbia University Irving Medical Center confirms that minimally invasive surgery for early-stage cervical cancer is linked to higher rates of recurrence and death compared with open surgery.

Simple conversations can reduce opioid prescriptions after hysterectomy
Women who undergo a hysterectomy are often prescribed at least twice as many opioids as they use - but there may be a simple way to change that.

Hysterectomy and mesh support may have similar outcomes in repairing vaginal prolapse
Two surgical procedures used to repair vaginal prolapse -- hysterectomy and employing mesh support that preserves the uterus -- have comparable clinical outcomes after three years, according to new data from researchers at University of California San Diego School of Medicine.

Comparing effectiveness of 2 surgical methods for uterine prolapse
Uterine prolapse happens when weakened muscles and ligaments no longer provide enough support for the uterus, which then protrudes into or out of the vagina.

Study finds women at greater risk of depression, anxiety after hysterectomy
Hysterectomy is associated with an increased risk of long-term mental health issues, especially depression and anxiety, according to a cohort study by Mayo Clinic researchers involving nearly 2,100 women.

Study shows incidence rates of aggressive subtypes of uterine cancer rising
New findings from a study by researchers at the National Cancer Institute (NCI), part of the National Institutes of Health, show that US incidence rates for aggressive subtypes of uterine cancer rose rapidly among women ages 30 to 79 from 2000 to 2015.

Hysterectomy may be linked to brain function
Hysterectomy can impair some types of memory in the short term following the surgery, according to a rat study published in the Endocrine Society's journal Endocrinology.

For early cervical cancer, open hysterectomy is safer than minimally invasive surgery
A new study found that the risk of death was significantly higher for women with early cervical cancer if they had a minimally invasive hysterectomy instead of open surgery.

Minimally invasive surgery associated with worse survival for women with cervical cancer compared to open hysterectomy
When comparing standard-of-care surgical options for women with early-stage cervical cancer, two studies led by researchers at The University of Texas MD Anderson Cancer Center discovered that minimally invasive radical hysterectomy is associated with higher recurrence rates and worse overall survival (OS), compared to abdominal radical hysterectomy.

Read More: Hysterectomy News and Hysterectomy Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.