“…Regardless of gestational age, an increase in cesarean rate has been reported as being associated with severe maternal morbidity (SMMM) 9 but there is a paucity of data on SMMM of extreme preterm cesareans, particularly before 26 weeks. Operative complications of these cesareans have been reported with the use of a vertical incision in the upper uterine segment often needed [10][11][12] and frequent difficulties of delivery because of fetal malpresentations and…”