Midline versus transverse incision for cesarean delivery in low-income countries
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Midline versus transverse incision for cesarean delivery in low-income countries. / Maaløe, Nanna; Aabakke, Anna J M; Secher, Niels J.
In: International Journal of Gynecology & Obstetrics, Vol. 125, No. 1, 04.2014, p. 1-2.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Midline versus transverse incision for cesarean delivery in low-income countries
AU - Maaløe, Nanna
AU - Aabakke, Anna J M
AU - Secher, Niels J
N1 - Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
PY - 2014/4
Y1 - 2014/4
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
U2 - 10.1016/j.ijgo.2013.09.030
DO - 10.1016/j.ijgo.2013.09.030
M3 - Journal article
C2 - 24486123
VL - 125
SP - 1
EP - 2
JO - International Journal of Gynecology & Obstetrics
JF - International Journal of Gynecology & Obstetrics
SN - 0020-7292
IS - 1
ER -
ID: 130530092