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Epidemiolog y of Cesarean Delivery in Qassim,"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"Saudi Arabia. OA Maced J Med Sci. 2018 May 20; 6(5): 891.","DOI":"10.3889\/oamjms.2018.213"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"doi: 10.3889\/oamjms.2018.213.","DOI":"10.3889\/oamjms.2018.213"},{"key":"ref35","unstructured":"10.  Marshall NE, Fu R, Guise JM. Impact of multiple cesarean"},{"key":"ref36","unstructured":"deliveries on maternal morbidity: a systematic review. Am"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"J Obstet Gynecol. 2011 Sep 1; 205(3): 262-e1. doi: 10.1016\/j.","DOI":"10.1016\/j.ajog.2011.06.035"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"ajog.2011.06.035.","DOI":"10.1088\/1475-7516\/2011\/11\/035"},{"key":"ref39","unstructured":"11.  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Sequelae of repeat cesarean sections. Int J Gyn -"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"aecol Obstet. 1996 Feb 1; 52(2): 127-132.","DOI":"10.1002\/phbl.19960520210"},{"key":"ref50","unstructured":"14.  Gedikbasi A, Akyol A, Bingol B, Cakmak D, Sargin A, Uncu"},{"key":"ref51","unstructured":"R, Ceylan Y. Multiple repeated cesarean deliveries: operative"},{"key":"ref52","unstructured":"complications in the fourth and fifth surgeries in urgent and"},{"key":"ref53","unstructured":"elective cases. Taiwan J Obstet Gynecol. 2010 Dec 1; 49(4):"},{"key":"ref54","doi-asserted-by":"crossref","unstructured":"425-431. doi: 10.1016\/S1028-4559(10)60093-9.","DOI":"10.1016\/S1028-4559(10)60093-9"},{"key":"ref55","unstructured":"15.  Rashid M, Rashid RS. Higher order repeat caesarean sec -"},{"key":"ref56","doi-asserted-by":"crossref","unstructured":"tions: how safe are five or more? 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Safety of late second-trimester pregnancy"},{"key":"ref73","unstructured":"termination by laminaria dilatation and evacuation in"},{"key":"ref74","unstructured":"patients with previous multiple cesarean sections. Am J"},{"key":"ref75","unstructured":"Obstet Gynecol. 2009 Aug 1; 201(2): 154-e1. doi: 10.1016\/j."},{"key":"ref76","doi-asserted-by":"crossref","unstructured":"ajog.2009.04.029.","DOI":"10.1088\/1475-7516\/2009\/04\/029"},{"key":"ref77","unstructured":"20.  Hyginus E, Eric NI, Lawrence I, Sylvester N. Morbidity and"},{"key":"ref78","unstructured":"mortality following high order caesarean section in a devel -"},{"key":"ref79","unstructured":"oping country. J Pak Med Assoc. 2012 Oct 1; 62(10): 1016-1019."},{"key":"ref80","unstructured":"21.  Kirkinen P. Multiple caesarean sections: outcomes and com -"},{"key":"ref81","doi-asserted-by":"crossref","unstructured":"plications. 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