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Maternal and Neonatal Outcomes of Repeated CesareanDelivery: A Comparison between Transverse and VerticalMaternal and Neonatal Outcomes of Repeated CesareanDelivery: A Comparison between Transverse and VerticalSkin Incision |
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| รหัสดีโอไอ | |
| Creator | Anutsara Promket, M.D. |
| Title | Maternal and Neonatal Outcomes of Repeated CesareanDelivery: A Comparison between Transverse and VerticalMaternal and Neonatal Outcomes of Repeated CesareanDelivery: A Comparison between Transverse and VerticalSkin Incision |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 4 |
| Page no. | 265 |
| Keyword | repeated cesarean section, transverse skin incision, vertical skin incision, incision-todelivery interval, total operative time |
| ISSN | 0857-6084 |
| Abstract | Objectives: To compare maternal and neonatal outcomes in women who had repeated cesareansection between transverse and vertical skin incision.Material and Methods: This comparative study was conducted from April 2014 until July 2015 atRajavithi Hospital. Patients were recruited from women who had planned and undergonerepeated cesarean delivery both scheduled and in emergency conditions. Women who enrolledin this study were having single pregnancy, without classical cesarean section, previous intraabdominal surgery from other indication, and HIV infection backgrounds. Subjects were dividedinto two groups, transverse and vertical skin incisions. Data was collected from antenatal carerecords, anesthetic notes, operative notes and the research record forms.Results: According to the inclusion and exclusion criteria, 500 subjects were selected. Therewere 286 and 214 subjects in the transverse and vertical skin incision groups, respectively.Incision-to-delivery interval in transverse was longer than in the vertical group by about 2 minutes(p < 0.001). The total operative time ? S.D. was 84.67 ? 30.96 and 79.69 ? 26.83 minutes inthe transverse and vertical skin incision groups, respectively (p = 0.043). There was no statisticaldifference in internal organ injuries, estimated blood loss, post-operative outcomes, Apgar scoresand fetal injuries.Conclusion: In repeated cesarean delivery, transverse skin incision illustrated more incision-todelivery interval and total operative time than vertical skin incision, but no difference in adversematernal and neonatal outcomes. |
