No benefit to negative pressure wound therapy after C-section

September 28, 2018

(HealthDay)—For obese women, use of prophylactic negative pressure wound therapy versus standard dressings does not reduce superficial surgical site infections after cesarean section, according to a study published in the August issue of Obstetrics & Gynecology.

Kristina A. Wihbey, M.D., from the Geisel School of Medicine at Dartmouth in Lebanon, N.H., and colleagues conducted a randomized controlled, non-blinded study to compare prophylactic negative pressure with standard surgical dressings placed at the time of primary closure of cesarean delivery in obese women with body mass indexes of 35 kg/m² or higher. The authors intended to recruit 400 women, but after low enrollment of 166 women over 24 months, an interim analysis was conducted for futility, and the study was halted.

The researchers found no difference between the groups in the occurrence of observed superficial (prophylactic negative pressure wound therapy group, 15 percent, versus 10 percent for women receiving the standard dressing; P = 0.35). Women receiving prophylactic negative pressure wound therapy and those receiving the standard dressing had no differences in the occurrence of composite wound complications (31 versus 30 percent; P = 0.87).

"In this randomized controlled trial that did not achieve full anticipated enrollment, we did not observe a decrease in superficial surgical site infections after cesarean delivery in with the use of negative pressure wound therapy," the authors write.

The devices used in the study were provided by an unrestricted grant from KCI Medical.

Explore further: Antibiotics following C-section among obese women reduces risk of surgical infection

More information: Abstract/Full Text

Related Stories

Antibiotics following C-section among obese women reduces risk of surgical infection

September 19, 2017
Among obese women undergoing cesarean delivery, a postoperative 48-hour course of antibiotics significantly decreased the rate of surgical site infection within 30 days after delivery, according to a study published by JAMA.

Prophylactic tranexamic acid doesn't cut postpartum bleeding

August 23, 2018
(HealthDay)—Prophylactic administration of tranexamic acid does not reduce postpartum hemorrhage among women with vaginal delivery receiving prophylactic oxytocin, according to a study published in the Aug. 23 issue of ...

Equal wound complications for staples, suture in obese women

June 9, 2017
(HealthDay)—The rate of surgical site wound complications is similar for obese women undergoing midline vertical incision with skin closure via staples or subcuticular suture, according to a study published in the July ...

Skin microbiota differ for obese, non-obese undergoing c-section

August 28, 2018
(HealthDay)—After cesarean delivery (CD), the incision site harbors a higher bacterial biomass in obese women than in non-obese women, according to a study recently published in Scientific Reports.

High-tech treatment of open leg wounds no better than using regular dressings: study

June 12, 2018
A new study of open leg fractures suggests there is no difference to patient recovery whether high-tech negative pressure wound therapy devices are used, compared to standard dressings.

Risk of post-cesarean infection up for overweight, obese

September 26, 2012
(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 ...

Recommended for you

Why mothers in mainland China, Hong Kong and Taiwan choose cesarean delivery

October 16, 2018
Pregnant women in mainland China, Hong Kong, and Taiwan are more likely to express preference for cesarean section (CS) as their mode of delivery later in pregnancy and postpartum, as compared to early in pregnancy, according ...

Importance of cell cycle and cellular senescence in the placenta discovered

October 15, 2018
Working with researchers from Stanford University and St. Anna Children's Cancer Research, researchers from Jürgen Pollheimer's laboratory at the Medical University of Vienna's Department of Obstetrics and Gynecology have ...

C-section rates have nearly doubled since 2000: study

October 12, 2018
(HealthDay)—The number of women delivering babies via cesarean section has nearly doubled worldwide since 2000, to about 21 percent, new research shows.

Study of nearly 41,000 women who almost died giving birth shows who's most at risk

October 10, 2018
Tens of thousands of American women each year need emergency treatment to save their lives while they deliver their babies, or immediately after. A new study shows how much their risk of a life-threatening birth depends on ...

In childbirth, when to begin pushing does not affect C-section rates

October 9, 2018
More than 3 million women in the United States give birth each year. But obstetricians have differing opinions about when women should begin pushing during labor and whether the timing of pushing increases the likelihood ...

Why single embryo transfer during IVF sometimes results in twins or triplets

October 8, 2018
It has been known for some time that it is better to transfer a single embryo to a woman's womb during assisted reproduction treatment (ART) rather than several embryos in order to avoid a multiple pregnancy and the risks ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.