Which maternal complication could arise from a history of previous cesarean deliveries?

A history of previous cesarean deliveries increases the risk of uterine rupture during subsequent pregnancies, especially if the method of delivery is attempted vaginally. The surgical scar left on the uterus from the cesarean section can be a weak point, making the uterus more susceptible to rupture during labor and delivery. This risk is particularly heightened in cases where there is a trial of labor after cesarean (TOLAC) because the contractions may put additional strain on the scar tissue. Uterine rupture can lead to severe complications for both the mother and the baby, including hemorrhage, the need for emergency surgery, and potentially life-threatening outcomes.

The other complications mentioned do not have a direct link to the history of cesarean deliveries in the same significant way that uterine rupture does. For example, gestational hypertension is typically related to factors such as obesity, multiple gestations, and genetic predispositions rather than previous surgical history. Likewise, while placenta previa can occur in any pregnancy, it is associated more commonly with uterine scarring and other factors rather than a direct history of cesarean deliveries. Chorioamnionitis, an infection of the amniotic fluid, is primarily influenced by factors such as prolonged rupture of membranes and invasive