The Impact of Uterine Incision Closure Techniques on Post‐cesarean Delivery Niche Formation and Size

2021 ◽  
Author(s):  
Clarel Antoine ◽  
Jessica A. Meyer ◽  
Jenna S. Silverstein ◽  
Jameshisa Alexander ◽  
Cheongeun Oh ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Uterine Incision ◽  
Niche Formation ◽  
The Impact

661: Trial of labor after cesarean delivery: the impact of BMI

2012 ◽  
Vol 206 (1) ◽  
pp. S295-S296
Author(s):  
Kelly Ruhstaller ◽  
Matthew K. Hoffman ◽  
Anthony Sciscione
Keyword(s):  
Cesarean Delivery ◽  
Trial Of Labor ◽  
The Impact

Effect of Using Silver Nylon Dressings on Postoperative Pain after Cesarean Delivery

2021 ◽  
Author(s):  
Sheila Connery ◽  
Jean Paul Tanner ◽  
Linda Odibo ◽  
Olivia Raitano ◽  
Dusan Nikolic-Dorschel ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Cesarean Delivery ◽  
Secondary Analysis ◽  
Single Site ◽  
Secondary Outcome ◽  
P Value ◽  
Scar Assessment ◽  
Patient Reported ◽  
The Impact ◽  
Nonopioid Analgesic

Objective Silver dressings have been associated with a decrease in postoperative pain in selected populations, but it is unknown if the benefit can be observed after cesarean deliveries. We sought to evaluate the impact of silver nylon dressings in reducing postoperative pain after cesarean delivery. Study Design A secondary analysis of data from a blinded randomized clinical trial of women undergoing cesarean delivery scheduled and unscheduled at a single site was conducted. Women were recruited for participation from a single site and randomized to a silver nylon dressing or an identical-appearing gauze wound dressing. Wounds were evaluated in the outpatient clinic at 1 and 6 weeks after delivery and patient responded to the modified patient scar assessment scale. The primary outcome of this analysis was inpatient opioid and nonopioid analgesic dispensed. The secondary outcome was patient-reported pain at the 1- and 6-week postpartum visits. Data were analyzed using chi-square test, Student's t-test, Fisher's exact test, Wilcoxon–Mann–Whitney's test, and logistic regression where appropriate. A p-value of < 0.05 was considered significant. Results Among the 649 participants, women allocated to the silver nylon dressing group, when compared with the gauze group, were similar in the amount of dispensed opioid and nonopioid analgesic medications (morphine equivalent milligrams of opioids dispensed [82.5 vs. 90 mg, p = 0.74], intravenous nonsteroidal anti-inflammatory drugs (NSAIDs) [120 vs. 120 mg, p = 0.55], and oral NSAIDs [4,800 vs. 5,600 mg in the gauze group, p = 0.65]). After adjusting for confounding variables, postoperative wound infection (adjusted odds ratio [aOR]: 11.70; 95% confidence interval [CI]: 4.51–30.31) at 1-week postoperative and again at 6-week postoperative (aOR: 5.59; 95% CI: 1.03–30.31) but not gauze dressing was associated with patient-reported postoperative pain. Conclusion Among women undergoing cesarean delivery, silver nylon dressing was not associated with a reduction in postoperative pain. Key Points

The Impact of Cesarean Delivery on Pelvic Floor Dysfunction in Lysyl Oxidase Like-1 Knockout Mice

2010 ◽  
Vol 16 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Arlan Marcus Gustilo-Ashby ◽  
Una Lee ◽  
Drina Vurbic ◽  
David Sypert ◽  
Mei Kuang ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cesarean Delivery ◽  
Knockout Mice ◽  
Lysyl Oxidase ◽  
Pelvic Floor Dysfunction ◽  
The Impact

The impact of low-dose versus high-dose antibiotic prophylaxis regimens on surgical site infection rates after cesarean delivery

2019 ◽  
Vol 301 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Mauricio La Rosa ◽  
Chasey Omere ◽  
Tiffany Redfern ◽  
Mahmoud Abdelwahab ◽  
Nicholas Spencer ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Cesarean Delivery ◽  
Low Dose ◽  
High Dose ◽  
Site Infection ◽  
Infection Rates ◽  
The Impact

686: Primary cesarean delivery in the U.S.: the impact of noneconomic damages caps

2011 ◽  
Vol 204 (1) ◽  
pp. S270-S271
Author(s):  
Yvonne W. Cheng ◽  
Jean-Marie Guise ◽  
Sanae Nakagawa ◽  
Aaron B. Caughey
Keyword(s):  
Cesarean Delivery ◽  
Primary Cesarean Delivery ◽  
The Impact ◽  
Noneconomic Damages ◽  
The U.S

scholarly journals A randomized clinical trial of knotless barbed suture vs conventional suture for closure of the uterine incision at cesarean delivery

2018 ◽  
Vol 218 (3) ◽  
pp. 343.e1-343.e7 ◽  
Author(s):  
David Peleg ◽  
Ronan Said Ahmad ◽  
Steven L. Warsof ◽  
Naama Marcus-Braun ◽  
Yael Sciaky-Tamir ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Cesarean Delivery ◽  
Barbed Suture ◽  
Uterine Incision

Influence of Estimated Fetal Weight on Labor Management

2019 ◽  
Vol 37 (03) ◽  
pp. 252-257
Author(s):  
Elisa T. Bushman ◽  
Norris Thompson ◽  
Meredith Gray ◽  
Robin Steele ◽  
Sheri M. Jenkins ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Secondary Analysis ◽  
Physical Exam ◽  
Fetal Weight ◽  
Secondary Outcome ◽  
Labor Management ◽  
Increased Risk ◽  
Tertiary Center ◽  
The Impact ◽  
Estimated Fetal Weight

Abstract Objective Prior studies suggest knowledge of estimated fetal weight (EFW), particularly by ultrasound (US), increases the risk for cesarean delivery. These same studies suggest that concern for macrosomia potentially alters labor management leading to increased rates of cesarean delivery. We aimed to assess if shortened labor management, as a result of suspected macrosomia (≥4,000 g), leads to an increased rate of cesarean delivery. Study Design This is a secondary analysis of a retrospective cohort study at a single tertiary center in 2015 of women with singleton pregnancies ≥36 weeks with documented EFW by US within 3 weeks or physical exam on admission. Women were excluded if an initial cervical exam was ≥6 cm or no attempt was made to labor. In addition, patients were excluded for the diagnosis of hypertension, diabetes, or prior cesarean delivery, as these comorbidities influence the use of US, labor management, and cesarean delivery independent of fetal weight. Patients were classified as EFW of ≥4,000 and <4,000 g. Secondary analysis examined the impact of US within 3 weeks of admission when compared with physical exam at the time of admission. The primary maternal outcomes were duration of labor and cesarean delivery. Duration of labor was evaluated as total time from 4 cm to delivery (with 4-cm dilation being a surrogate marker for active labor), length of time allowed from 4 cm until the first documented cervical change (or delivery), and time in second stage of labor (complete dilation to delivery). Cesarean delivery for arrest of labor was a secondary outcome. Student's t-test, Mann–Whitney U-test, chi-squared test, and Fisher's exact test were used for univariate data analysis as appropriate. Results Of 1,506 patients included, 54 (3.5%) had EFW of ≥4,000 g. Women with EFW of ≥4,000 g had a larger body mass index, higher fetal birth weight, were more likely to be undergoing induction of labor, had a more advanced gestational age, and were more likely to have had an US within 3 weeks of delivery. They were more likely to undergo cesarean delivery (29.6 vs. 9.3%, adjusted odds ratio [AOR]: 2.7, 95% confidence interval [CI]: 1.3–5.5) despite not having shortened labor times. When analyzing this population by method of obtaining EFW, those with EFW based on US rather than external palpation were more likely to undergo cesarean delivery (13.1 vs. 7.9%, AOR: 1.5, 95% CI: 1.01–2.12), again without having shortened labor times. Conclusion EFW of ≥4,000 g and use of US to estimate fetal weight do not appear to shorten labor management despite being associated with an increased risk of cesarean delivery.

809: The impact of change in pregnancy body mass index on cesarean delivery

2013 ◽  
Vol 208 (1) ◽  
pp. S339
Author(s):  
Morgan Swank ◽  
Aaron Caughey ◽  
Christine Farinelli ◽  
Elliott Main ◽  
Kathryn Melsop ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cesarean Delivery ◽  
Body Mass ◽  
The Impact ◽  
In Pregnancy
Sign in / Sign up

Export Citation Format

Share Document