The impact of subcutaneous tissue suturing at caesarean section on wound complications: a meta‐analysis

Pergialiotis, Vasilios; Prodromidou, Anastasia; Perrea, D.; Doumouchtsis, Stergios K.

doi:10.1111/1471-0528.14593

Cited by 28 publications

(27 citation statements)

References 30 publications

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“…An updated meta-analysis by Pergialiotis et al confirmed these findings with more than double the number of patients. The likelihood of developing a wound infection was not significantly different between the closure group and the nonclosure group (OR 0.99, 95% CI 0.70 to 1.41) (Pergialiotis et al 2017).…”

Section: Wound Closurementioning

confidence: 79%

A review of post-caesarean infectious morbidity: how to prevent and treat

Pierson

Scott

Briscoe

et al. 2018

Journal of Obstetrics and Gynaecology

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Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the impact of maternal post caesarean infection, it is important for women's health care providers to understand how to prevent these infections, as well as recognise and treat them.

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Section: Wound Closurementioning

confidence: 79%

A review of post-caesarean infectious morbidity: how to prevent and treat

Pierson

Scott

Briscoe

et al. 2018

Journal of Obstetrics and Gynaecology

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“…Higher dose antibiotics may be beneficial 43 . To reduce the risk of wound complications, women with more than 2 cm subcutaneous fat should have suturing of the subcutaneous tissue following cesarean delivery 37,86,103,139 . Subcutaneous drains can increase risk of wound complications and are therefore not recommended for routine use 44 .…”

Section: Figo Guidance For Pregnancy Obesitymentioning

confidence: 99%

Management of prepregnancy, pregnancy, and postpartum obesity from the FIGO Pregnancy and Non‐Communicable Diseases Committee: A FIGO (International Federation of Gynecology and Obstetrics) guideline

McAuliffe

Killeen

Jacob

et al. 2020

Intl J Gynecology & Obste

114

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Obstetricians and gynecologists are well positioned to influence population health through maternity and women's health services. Obesity is common in women of reproductive age and the prevalence is rising in both low-/middle-income and high-income countries 1. Obesity affects requirements for assessment, monitoring, and intervention and can impact maternal and child outcomes. Obstetricians and gynecologists require guidance on the care of women of reproductive age with obesity at all time points related to pregnancy, including how to address modifiable risk factors such as diet and physical activity. Many guidelines have been developed to date, although they vary in scope, methodology, and individual recommendations. FIGO's Committee Guideline for the Management of Prepregnancy, Pregnancy, and Postpartum Obesity (Table 1) reviews good clinical practice recommendations (Table 2-4) from previously published international documents. It serves as a practical resource to support obstetricians and gynecologists in the management of This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“… 4 Two additional RCTs and a meta-analysis since supports re-approximating this tissue layer as previously recommended. 75 – 77 …”

Section: Standardized Cesarean Delivery Surgical Techniquementioning

confidence: 99%