Midline versus transverse incision for cesarean delivery in low-income countries

Nanna Maaløe; Anna J M Aabakke; Niels J Secher

doi:10.1016/j.ijgo.2013.09.030

Midline versus transverse incision for cesarean delivery in low-income countries

Nanna Maaløe, Anna J M Aabakke, Niels J Secher

5 Citationer (Scopus)

Abstract

While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change in guidelines for low-income settings in which resources are limited for treating complications that may be life threatening.

Originalsprog	Engelsk
Tidsskrift	International Journal of Gynecology & Obstetrics
Vol/bind	125
Udgave nummer	1
Sider (fra-til)	1-2
Antal sider	2
ISSN	0020-7292
DOI	https://doi.org/10.1016/j.ijgo.2013.09.030
Status	Udgivet - apr. 2014

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10.1016/j.ijgo.2013.09.030

Citationsformater

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abstract = "While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change in guidelines for low-income settings in which resources are limited for treating complications that may be life threatening.",

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author = "Nanna Maal{\o}e and Aabakke, {Anna J M} and Secher, {Niels J}",

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AU - Maaløe, Nanna

AU - Aabakke, Anna J M

AU - Secher, Niels J

PY - 2014/4

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N2 - While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change in guidelines for low-income settings in which resources are limited for treating complications that may be life threatening.

AB - While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change in guidelines for low-income settings in which resources are limited for treating complications that may be life threatening.

KW - Cesarean Section

KW - Developing Countries

KW - Female

KW - Humans

KW - Infant, Newborn

KW - International Cooperation

KW - Practice Guidelines as Topic

KW - Pregnancy

KW - Time Factors

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JO - International Journal of Gynecology & Obstetrics

JF - International Journal of Gynecology & Obstetrics

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ER -

Midline versus transverse incision for cesarean delivery in low-income countries

Abstract

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