In classical caesarean section more chances of rupture of uterus is in :
**Core Concept**
Classical caesarean section involves a vertical incision in the upper segment of the uterus, which can increase the risk of uterine rupture in subsequent pregnancies. This is due to the presence of scar tissue from the previous surgery, which can weaken the uterine wall and make it more susceptible to rupture.
**Why the Correct Answer is Right**
The risk of uterine rupture is higher in classical caesarean sections because the vertical incision can lead to a more significant disruption of the uterine muscle fibers. This can result in a weaker scar that is more prone to rupture during labor or with subsequent pregnancies. The risk is particularly high in women who have had multiple classical caesarean sections.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to the question. The risk of uterine rupture is not directly related to the type of anesthesia used during a caesarean section.
**Option B:** This option is incorrect because the risk of uterine rupture is higher in classical caesarean sections, not in lower segment caesarean sections.
**Option C:** This option is incorrect because the risk of uterine rupture is not directly related to the parity of the woman.
**Clinical Pearl / High-Yield Fact**
Women who have had a classical caesarean section should be counseled on the increased risk of uterine rupture in subsequent pregnancies and should be managed in a hospital with a high level of obstetric care.
**Correct Answer:** C.