Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review
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 use...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-03-01
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| Series: | Future Science OA |
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| Online Access: | https://www.future-science.com/doi/10.2144/fsoa-2020-0160 |
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| author | Dani Zoorob Oxana Zarudskaya James Van Hook Hind N Moussa |
| author_facet | Dani Zoorob Oxana Zarudskaya James Van Hook Hind N Moussa |
| author_sort | Dani Zoorob |
| collection | DOAJ |
| description | 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 |
| format | Article |
| id | doaj-art-843d6ae452da40459a4be2961e0a0da2 |
| institution | OA Journals |
| issn | 2056-5623 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Future Science OA |
| spelling | doaj-art-843d6ae452da40459a4be2961e0a0da22025-08-20T02:25:48ZengTaylor & Francis GroupFuture Science OA2056-56232021-03-017310.2144/fsoa-2020-0160Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic reviewDani Zoorob0Oxana Zarudskaya1James Van Hook2Hind N Moussa31Department of Obstetrics & Gynecology, University of Toledo College of Medicine & Life Sciences, Toledo, OH 43606, USA1Department of Obstetrics & Gynecology, University of Toledo College of Medicine & Life Sciences, Toledo, OH 43606, USA1Department of Obstetrics & Gynecology, University of Toledo College of Medicine & Life Sciences, Toledo, OH 43606, USA2Division of Maternal-Fetal Medicine, The University of Cincinnati, Cincinnati, OH 45267, USAAim: 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: CRD42020151106https://www.future-science.com/doi/10.2144/fsoa-2020-0160cesarean deliveryobesitytransverse skin incisionvertical skin incisionwound complication |
| spellingShingle | Dani Zoorob Oxana Zarudskaya James Van Hook Hind N Moussa Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review Future Science OA cesarean delivery obesity transverse skin incision vertical skin incision wound complication |
| title | Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review |
| title_full | Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review |
| title_fullStr | Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review |
| title_full_unstemmed | Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review |
| title_short | Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review |
| title_sort | maternal morbidity associated with skin incision type at cesarean delivery in obese patients a systematic review |
| topic | cesarean delivery obesity transverse skin incision vertical skin incision wound complication |
| url | https://www.future-science.com/doi/10.2144/fsoa-2020-0160 |
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