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To link to full-text access for this article, visit this link: http://dx.doi.org/10.1067/mob.2000.100985 Byline: Isabella Schulz-Lobmeyr, Rene Wenzl Abstract: A 34-year-old primiparous woman underwent an elective primary cesarean delivery. Five days later a hysterectomy had to be performed to save the patient's life because of generalized peritonitis. Although risks have decreased dramatically with modern obstetric care, awareness of the potential for severe complications is mandatory even in cases of elective cesarean delivery. Author Affiliation: Department of Obstetrics and Gynecology, University of Vienna, Vienna, Austria Article History: Received 3 March 1999; Revised 10 June 1999; Accepted 18 June 1999