Best Incision Site for Obese Patients - Low Versus High Transverse

Withdrawn

• Conditions: Cesarean Section
• Interventions: Procedure: cesarean section

• Registration Number: NCT03041220
• Lead Sponsor: University of Nebraska

Brief Summary

Retrospective chart review using both out patient and inpatient records of obese patients (BMI of 30 or greater) who have had a cesarean section since the year 2009. We will evaluate the patient's BMI, their skin incision type at time of c-section, their co-morbidities, number of previous c-sections and post partum follow up for wound infection, wound separation and wound breakdown. We will also review operative notes to evaluate blood loss, length of surgery and complications during surgery. We will obtain maternal characteristics and information about the pregnancy.

Detailed Description

Past studies have looked primarily at vertical vs low transverse skin incision. There is data that performing a high transverse skin incision on obese patients leads to better visualization and less wound infection but there are few studies comparing it directly to low transverse skin incision.

Retrospective chart review of obese patient's who have had a cesarean section at St Mary's hospital by either a low or high transverse skin incision between January 1, 2009 - July 31, 2014. We will review charts up to 6 week postpartum.

Pregnancies will be identified through identifing those who have cesarean sections. They will be narrowed down by those who have BMI of \> 30. Maternal prenatal records, postnatal records and delivery records will be reviewed.

Study Timeline

• Study Start: 2016-12
• Primary Completion: 2016-12
• Study Completion: 2016-12
• Study First Submitted: 2017-01-11
• Study First Submitted QC: 2017-02-01
• Study First Posted: 2017-02-02
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-09
• Last Update Posted: 2023-08-14

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

• obese patients (BMI of 30 or greater) who have had a cesarean section

Exclusion Criteria

• Vaginal delivery

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
cesarean section	cesarean section	Obese pregnant patients who have had a cesarean section.

Primary Outcome Measures

Name	Time	Method
Type of skin incision	Delivery to 6 weeks postpartum	Identify which type of skin incision has better outcomes in obese pregnant patients