Saturday, August 12, 2017

Clinical review: Updates on Cesarean Section


Here is a roundup of the latest research on Cesarean Section.

In this article:

Subcuticular skin closure after cesarean delivery with poliglecaprone 25 suture IMONOCRYL) decreases the rate of cesarean wound complications by 39% as compared with polyglactin 910 suture (Coated VICRYL) says the result of randomized control trial published ahead of print in Journal Obstetrics and Gynecology.  https://obgynupdated.blogspot.com/2017/08/use-of-monocryl-for-subcutaneous-skin.html

A simple and inexpensive intervention of vaginal cleaning with an antiseptic solution before cesarean delivery brings down the rate of endometritis note the results of a Systematic Review and Meta-analysis published August 4 in Journal of Obstetrics and Gynecology. https://obgynupdated.blogspot.com/2017/08/vaginal-cleaning-before-cesarean.html

Double layer closure of uterus during previous cesarean section results in thicker third-trimester lower uterine segment and decreases rate of uterine rupture by 3 to 5fold during trial of labor after cesarean (TOLAC) and vaginal birth after cesarean reports results of multicenter prospective cohort study published in July issue of Journal obstetrics and gynecology. https://obgynupdated.blogspot.com/2017/07/double-layer-vs-single-layer-uterine.html

Chlorhexidine-Alcohol is not superior to Povidone-Iodine in reducing the rate of surgical site infection in Cesarean section reports the results of Chlorhexidine-Alcohol Versus Povidone-Iodine for Cesarean Antisepsis (CAPICA) Trial published ahead of print in American Journal of Obstetrics and Gynecology. https://obgynupdated.blogspot.com/2017/06/what-is-best-for-cesarean-antisepsis.html

Novel Cesarean Section Scalpel that increases fetal safety during surgery unveiled.

A C-section rate of approximately 19 percent seems to be ideal for the health of both women and newborns.



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