REMOVED: The relationship between primary cesarean delivery skin incision type and wound complications in women with morbid obesity

2014 ◽  
Vol 210 (4) ◽  
pp. 319 ◽  
Author(s):  
Caroline C. Marrs ◽  
Hind N. Moussa ◽  
Baha M. Sibai ◽  
Sean C. Blackwell
Keyword(s):  
Morbid Obesity ◽  
Cesarean Delivery ◽  
Skin Incision ◽  
Wound Complications ◽  
Primary Cesarean Delivery ◽  
The Relationship

scholarly journals Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review

2020 ◽  
pp. FSO669
Author(s):  
Dani Zoorob ◽  
Oxana Zarudskaya ◽  
James Van Hook ◽  
Hind N Moussa
Keyword(s):  
Systematic Review ◽  
Cesarean Delivery ◽  
Selection Criteria ◽  
Web Of Science ◽  
Skin Incision ◽  
Cochrane Library ◽  
Wound Complications ◽  
Transverse Skin Incision ◽  
The Relationship ◽  
Vertical Skin Incision

Aim: To describe the relationship between cesarean skin incision type and postoperative wound complications (WCs) in obese pregnant patients. Materials & methods: MEDLINE (PubMed and OVID), Embase, Scopus, Web of Science Core Collection, Cochrane Library and ClinicalTrials.gov databases were used for publication search. Selection criteria consisted of articles studying pregnant patients with BMI ≥30 kg/m2 undergoing cesarean delivery and assessing the effect of skin incision type on postoperative maternal outcomes. Results: Ten publications met criteria for a systematic review of a total of 2946 patients. The transverse skin incision was associated with a lower rate of WC compared with the vertical skin incision. The pooled risk ratio for WCs was 0.47 (95% CI: 0.37–0.58; p < 0.00001). Conclusion: Transverse skin incision may be preferable to vertical skin incision at cesarean delivery in pregnant patients with obesity as it may be associated with a lower rate of WCs. PROSPERO registration ID: CRD42020151106

scholarly journals 511 Choosing the optimal skin incision for cesarean delivery in patients with morbid obesity

2021 ◽  
Vol 224 (2) ◽  
pp. S322-S323
Author(s):  
Karl E. Seif ◽  
Katherine Goetzinger ◽  
Ozhan Turan
Keyword(s):  
Morbid Obesity ◽  
Cesarean Delivery ◽  
Skin Incision

Risk factors for wound complications in morbidly obese women undergoing primary cesarean delivery

2012 ◽  
Vol 25 (9) ◽  
pp. 1544-1548 ◽  
Author(s):  
Loralei L. Thornburg ◽  
Mitchell A. Linder ◽  
Danielle E. Durie ◽  
Brittany Walker ◽  
Eva K. Pressman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Wound Complications ◽  
Morbidly Obese ◽  
Obese Women ◽  
Primary Cesarean Delivery

The relationship between changes in prepregnancy BMI between pregnancies and indications for primary cesarean delivery

2006 ◽  
Vol 195 (6) ◽  
pp. S25
Author(s):  
Darios Getahun ◽  
Lillian Kaminsky ◽  
Denise Elsasser ◽  
Russell Kirby ◽  
Cande Ananth ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Prepregnancy Bmi ◽  
Primary Cesarean Delivery ◽  
The Relationship

640: Does maternal age moderate the relationship between elective induction of labor at 39 weeks and primary cesarean delivery?

2014 ◽  
Vol 210 (1) ◽  
pp. S313-S314
Author(s):  
Blair Darney ◽  
Jonathan Snowden ◽  
Sascha Dublin ◽  
James Nicholson ◽  
Anjali Kaimal ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Maternal Age ◽  
Induction Of Labor ◽  
Elective Induction ◽  
Primary Cesarean Delivery ◽  
The Relationship

Pfannenstiel versus Vertical Skin Incision for Cesarean Delivery in Women with Class III Obesity: A Randomized Trial

2018 ◽  
Vol 36 (01) ◽  
pp. 097-104 ◽  
Author(s):  
Sean Blackwell ◽  
Ashley Hester ◽  
Gayle Olson ◽  
George Saade ◽  
Jonathan Faro ◽  
...  
Keyword(s):  
Bayesian Analysis ◽  
Randomized Trial ◽  
Cesarean Delivery ◽  
Primary Outcome ◽  
Skin Incision ◽  
Wound Complications ◽  
Morbidly Obese ◽  
Obese Women ◽  
Treatment Benefit ◽  
Vertical Skin Incision

Objective To compare Pfannenstiel versus vertical skin incision for the prevention of cesarean wound complications in morbidly obese women. Study Design Women with body mass index ≥ 40 kg/m2 undergoing cesarean delivery (CD) were randomly allocated to Pfannenstiel or vertical skin incision. The primary outcome was a wound complication within 6 weeks. Due to a low consent rate, we limited enrollment to a defined time period for feasibility. We conducted a traditional frequentist analysis with log-binomial regression to obtain relative risks (RRs), and a Bayesian analysis to estimate the probability of treatment benefit. A priori, we decided that a ≥60% probability of treatment benefit for either incision type would be convincing evidence to pursue a larger trial. Results A total of 648 women were approached, 228 were consented, and 91 were randomized. The primary outcome rate was 19% in the Pfannenstiel group and 21% in the vertical group (RR: 1.18; 95% confidence interval: 0.49–2.85). Bayesian analysis revealed a 59% probability that Pfannenstiel had a lower primary outcome rate. Conclusion In the first published randomized trial to compare skin incision types for obese women undergoing CD, we were unable to demonstrate differences in clinical outcomes. Our trial suggests that a larger study would have a low probability for different findings. Trial Registration NCT 01897376 (www.clinicaltrials.gov).

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