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Caesarean section: impact on mother and child


  • A review based on the 2nd ‘Maria Delivoria-Papadopoulos’ Perinatal Symposium held in Athens, Greece, March 19, 2011.

A Malamitsi-Puchner, Neonatal Division, Second Department of Obstetrics and Gynecology, University of Athens, GR-11528 Athens, Greece. Tel: +306944443815 | Fax: +302107233330 | Email:


Maternal/foetal morbidity/mortality consequent to uterine rupture, placenta previa/increta and stillbirth may occur in repeat caesarean section (CS). Elective CS before 39 weeks increases respiratory complications, hypoglycaemia, sepsis and intensive care unit admissions. Different gut colonization in neonates born by CS accounts for increased incidence of food allergy, asthma and possibly type 1 diabetes. Epigenetic changes might be responsible – among others – for childhood malignancies.

Conclusion:  Decision for primary CS should take into consideration possible maternal/neonatal complications.