| November 2005 · Vol. 17, No. 11 LETTERS
4th cesareans? Try 10th or 11th
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Fast Track
“I have performed second and third cesareans that were far more dangerous than 6th sections”
“For experienced and well-trained OBs, higher-order repeat cesareans are routinely associated with good outcomes”
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In his September editorial, Dr. Robert L. Barbieri issued a call for OBs to recount their experience with higher-order cesareans and describe any innovative techniques. Here are some of the responses:
Before I retired recently from private practice in southern California, I cared for a patient who, along with her husband, earnestly desired and lovingly provided for a large family. It was my privilege to perform 11 consecutive cesarean sections in this remarkable woman. None of her pregnancies were complicated by placenta previa, and placenta accreta was never an issue. No significant adhesions were encountered until her final section.
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