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Evidence-based Cesarean Delivery: Postoperative Care (Part 10).
Am J Obstet Gynecol MFM
November 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA. Electronic address:
The following review focuses on routine postoperative care after cesarean delivery (CD), including specific Enhanced Recovery After Cesarean (ERAS) recommendations as well as important postpartum counseling points. Following CD, there is insufficient evidence to support administration of prophylactic multi-dose antibiotics to all patients. Additional antibiotic doses are indicated for the following scenarios: patients with obesity, CD lasting ≥ 4 hours since prophylactic dose, blood loss >1,500 mL, or those with an intra-amniotic infection.
View Article and Find Full Text PDFEvidence-based Cesarean Delivery: Intraoperative management following placental delivery until skin closure (Part 9): Evidence based care during cesarean delivery.
Am J Obstet Gynecol MFM
November 2024
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA. Electronic address:
This expert review provides recommendations for the cesarean technique after placental delivery to skin closure. Following placental delivery during cesarean, sponge curettage may be omitted as it has not been shown to decrease the risk of retained products of conception. Uterine irrigation and mechanical cervical dilation cannot be recommended.
View Article and Find Full Text PDFSurgical site infections in caesarean wounds.
Br J Nurs
November 2024
Senior Lecturer, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, aby.
The increasing incidence of surgical site infections (SSIs) following caesarean sections highlights the necessity for updated protocols that address risk factors throughout the preoperative, intraoperative, and postoperative stages. Negative Pressure Wound Therapy (NPWT) and hydrocolloid dressings have demonstrated potential for improving wound management and reducing complications, particularly by enhancing dressing integrity. Nevertheless, the application of NPWT requires careful consideration and adherence to local trust guidelines to ensure both its safety and efficacy.
View Article and Find Full Text PDFImpact of Early Dressing Removal After Cesarean Section on Wound Healing and Complications: A Systematic Review.
Cureus
September 2024
Surgical Oncology, Tata Medical Center, Kolkata, IND.
The global increase in cesarean section (C-section) births has heightened concerns about surgical site infections (SSIs), a significant risk associated with this common obstetric procedure. This literature review evaluates the impact of early dressing removal after C-sections, drawing from randomized controlled trials and clinical studies to assess potential benefits and risks. The review found no definitive evidence favoring a specific timing for dressing removal to reduce SSIs.
View Article and Find Full Text PDFA Collaborative Quality Improvement Project to Reduce Surgical Site Infection in Cesarean Delivery.
Womens Health Rep (New Rochelle)
September 2024
Global Clinical and Medical Affairs, Smith and Nephew, Fort Worth, Texas, USA.
Article Synopsis
- - Cesarean delivery (CD) is a surgical method used when vaginal delivery is risky, with over 1.2 million performed annually in the U.S.
- - An interdisciplinary team implemented a standardized infection prevention program, using a summary measure known as the standardized infection ratio (SIR) to track surgical site infections (SSIs), resulting in a significant reduction in SSI rates from 2021 to 2023.
- - The success of the project was attributed to ongoing data analysis, collaboration between departments, and standardized practices, which have led to zero observed SSIs from January to May 2024.
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