Women with caesarean sections (CS) repeated four or five times have increased risks for perioperative complications. Placenta previa, with or without accreta, and intra-abdominal adhesions seem to be the major causes of increased morbidity.

A comparison of general anaesthesia versus regional anaesthesia for Caesarean section reveals that both techniques are safe. Spinal anaesthesia is associated with significantly less blood loss, fewer transfusions, better Apgar scores and with insignificant trends toward shorter hospital stay, fewer neonatal care unit admissions, fewer perinatal deaths but more frequent postoperative infection.