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The Effect of Cesarean Delivery Skin Incision Approach in Morbidly Obese Women on the Rate of Classical Hysterotomy
Joint Authors
Wan, Jim Y.
Brocato, Brian E.
Mari, Giancarlo
Gomez, Luis M.
Thorpe, Edwin M.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Objective.
To assess the risk of classical hysterotomy and surgical morbidity among women with a body mass index (BMI) greater than 40 kg/m2 who underwent a supraumbilical incision at the time of cesarean delivery.
Methods.
We conducted a retrospective cohort study in women having a BMI greater than 40 kg/m2 who underwent a cesarean delivery of a live, singleton pregnancy from 2007 to 2011 at a single tertiary care institution.
Intraoperative and postoperative outcomes were compared between patients undergoing supraumbilical vertical (cohort, n=45) or Pfannenstiel (controls, n=90) skin incisions.
Results.
Women undergoing supraumbilical incisions had a higher risk of classical hysterotomy (OR, 24.6; 95% CI, 9.0–66.8), surgical drain placement (OR, 6.5; 95% CI, 2.6–16.2), estimated blood loss greater than 1 liter (OR, 3.4; 95% CI, 1.4–8.4), and longer operative time (97 ± 38 minutes versus 68 ± 30 minutes; P<.001) when compared to subjects with Pfannenstiel incisions (controls).
There was no difference in the risk of wound complication between women undergoing supraumbilical or Pfannenstiel incisions (OR, 2.7; 95% CI, 0.9–8.0).
Conclusion.
In women with a BMI above 40 kg/m2, supraumbilical incision at the time of cesarean delivery is associated with a greater risk of classical hysterotomy and operative morbidity.
American Psychological Association (APA)
Brocato, Brian E.& Thorpe, Edwin M.& Gomez, Luis M.& Wan, Jim Y.& Mari, Giancarlo. 2013. The Effect of Cesarean Delivery Skin Incision Approach in Morbidly Obese Women on the Rate of Classical Hysterotomy. Journal of Pregnancy،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-505708
Modern Language Association (MLA)
Brocato, Brian E.…[et al.]. The Effect of Cesarean Delivery Skin Incision Approach in Morbidly Obese Women on the Rate of Classical Hysterotomy. Journal of Pregnancy No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-505708
American Medical Association (AMA)
Brocato, Brian E.& Thorpe, Edwin M.& Gomez, Luis M.& Wan, Jim Y.& Mari, Giancarlo. The Effect of Cesarean Delivery Skin Incision Approach in Morbidly Obese Women on the Rate of Classical Hysterotomy. Journal of Pregnancy. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-505708
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505708