Featured Research

from universities, journals, and other organizations

Sutures cause fewer complications than staples with cesarean deliveries

Date:
February 4, 2010
Source:
Society for Maternal-Fetal Medicine
Summary:
Researchers have reported that there were fewer complications for women, after having a cesarean delivery, if sutures were used instead of staples to close the wound.

In a study to be presented February 4 at the Society for Maternal-Fetal Medicine's (SMFM) annual meeting, The Pregnancy Meeting ™, in Chicago, researchers will present findings that there were fewer complications for women, after having a cesarean delivery, if sutures were used instead of staples to close the wound.

When Suzanne Basha, M.D. began her career as an obstetrician/gynecologist, she was surprised to find nothing in the literature that provided evidence about which method was better to close a wound after a cesarean.

"It seemed to me that I was seeing more patients return with complications after a cesarean birth when staples were used instead of sutures but I couldn't find any studies that supported a recommendation for the use of either method," Basha said.

Basha and her colleagues at the Lehigh Valley Health Network in Allentown, Pa., conducted a study of 425 patients who were randomized. Women undergoing cesarean delivery in labor as well as scheduled cesarean delivery were eligible. Surgical and postpartum care was otherwise at the discretion of the provider. Wound complication data was complete for 98% of subjects (219 suture and 197 staples) and included wound separation, wound infection, antibiotic use, need for a wound-related physician visit, and readmission. Data were collected via telephone interview two to four weeks postoperatively by a single investigator.

Maternal demographic data was similar in both groups. Use of staples resulted in a higher wound separation rate (16.8 v. 4.6%, p< 0.001), higher composite wound complication rate (21.8 v. 9.1%, p< 0.001), and increased post-operative physician visits (36.0 v. 10.6%, p< 0.001); these associations persisted after adjusted analysis. Staple closure was associated with a more than four-fold increased risk of wound separation (adjusted OR 4.66, 95%CI 2.07, 10.52, p< 0.001). Median operative time was eight minutes shorter in the staple group (49 vs. 57 min p< 0.0001).

The study demonstrates that the use of staples for cesarean delivery closure is associated with an increased risk of wound complications and post-operative physician visits. Subcuticular suture may therefore be the preferred method of skin closure for cesarean delivery.


Story Source:

The above story is based on materials provided by Society for Maternal-Fetal Medicine. Note: Materials may be edited for content and length.


Cite This Page:

Society for Maternal-Fetal Medicine. "Sutures cause fewer complications than staples with cesarean deliveries." ScienceDaily. ScienceDaily, 4 February 2010. <www.sciencedaily.com/releases/2010/02/100204075019.htm>.
Society for Maternal-Fetal Medicine. (2010, February 4). Sutures cause fewer complications than staples with cesarean deliveries. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2010/02/100204075019.htm
Society for Maternal-Fetal Medicine. "Sutures cause fewer complications than staples with cesarean deliveries." ScienceDaily. www.sciencedaily.com/releases/2010/02/100204075019.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Liberia Pleads for Help to Fight Ebola

Liberia Pleads for Help to Fight Ebola

AP (Sep. 22, 2014) Liberia's finance minister is urging the international community to quickly follow through on pledges of cash to battle Ebola. Bodies are piling up in the capital Monrovia as the nation awaits more help. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Ebola Doctor Says Border Controls Critical

Ebola Doctor Says Border Controls Critical

AP (Sep. 22, 2014) A Florida doctor who helped fight the expanding Ebola outbreak in West Africa says the disease can be stopped, but only if nations quickly step up their response and make border control a priority. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Global Ebola Aid Increasing But Critics Say It's Late

Global Ebola Aid Increasing But Critics Say It's Late

Newsy (Sep. 21, 2014) More than 100 tons of medical supplies were sent to West Africa on Saturday, but aid workers say the global response is still sluggish. Video provided by Newsy
Powered by NewsLook.com
Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins