Risk of post-cesarean infection up for overweight, obese

Risk of post-cesarean infection up for overweight, obese
About 10 percent of U.K. women who undergo cesarean section develop a surgical site infection, with the odds significantly increased for overweight or obese women, according to a study published in the October issue of BJOG: An International Journal of Obstetrics and Gynaecology.

(HealthDay)—About 10 percent of U.K. women who undergo cesarean section develop a surgical site infection, with the odds significantly increased for overweight or obese women, according to a study published in the October issue of BJOG: An International Journal of Obstetrics and Gynaecology.

To assess the frequency and risk factors for surgical site infections following cesarean section, Catherine Wloch, of the in London, and associates conducted a prospective study of 4,107 women who underwent cesarean section at 14 hospitals in England between April and September of 2009.

The researchers found that 394 women (9.6 percent) developed a post-cesarean section surgical site infection, and 0.6 percent were readmitted for treatment of the infection. Major independent risk factors for infection included being overweight or obese ( [BMI] of 25 to 30 kg/m²: odds ratio [OR], 1.6, and BMI of 30 to 35 kg/m²: OR, 3.7—both compared with BMI of 18.5 to 25 kg/m²). Surgical site infection was significantly more likely among younger women (age 20 or younger versus 25 to 30: OR, 1.9) and for operations performed by an associate specialist and staff grade surgeons versus consultants (OR, 1.6; 95 percent confidence interval, 1.0 to 2.4).

"Given the number of women delivering by cesarean section in the U.K., substantial costs will be incurred as a result of these infections," the authors write." Prevention of these infections should be a clinical and public health priority."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Reduced baby risk from another cesarean

Mar 13, 2012

A major study led by the University of Adelaide has found that women who have had one prior cesarean can lower the risk of death and serious complications for their next baby - and themselves - by electing to have another ...

Recommended for you

High-intensity ultrasound OK for cesarean scar pregnancy

Oct 09, 2014

(HealthDay)—High-intensity focused ultrasound (HIFU) can play a role in treating cesarean scar pregnancy (CSP), according to a small study published in the October issue of the American Journal of Obstetrics & ...

Timing of epidural is up to the mother

Oct 08, 2014

When a woman is in labour, the appropriate time to give an epidural during childbirth is when she asks for it, a new study suggests. Published in The Cochrane Library, the systematic review compared early and late epidur ...

User comments