Evidence-based surgery for cesarean delivery.
Publication/Presentation Date
11-1-2005
Abstract
OBJECTIVE: The purpose of this study was to provide evidenced-based guidance for surgical decisions during cesarean delivery.
STUDY DESIGN: We performed MEDLINE, PubMed, EMBASE, and COCHRANE searches with the terms cesarean section, cesarean delivery, cesarean, pregnancy, randomized trials, and each technical aspect of cesarean delivery. All randomized trials that covered a surgical aspect of cesarean delivery were included in the review. Each surgical step of cesarean delivery was reviewed separately.
RESULTS: US Preventive Services Task Force recommendations favor blunt uterine incision expansion, prophylactic antibiotics (either ampicillin or first-generation cephalosporin for just 1 dose), spontaneous placental removal, non-closure of both visceral and parietal peritoneum, and suture closure or drain of the subcutaneous tissue when thickness is > or =2 cm.
CONCLUSION: Cesarean delivery techniques that are supported by good quality recommendations should be performed routinely. All technical aspects that have recommendations with lower quality should be researched with adequately powered and designed trials.
Volume
193
Issue
5
First Page
1607
Last Page
1617
ISSN
1097-6868
Published In/Presented At
Berghella, V., Baxter, J. K., & Chauhan, S. P. (2005). Evidence-based surgery for cesarean delivery. American journal of obstetrics and gynecology, 193(5), 1607–1617. https://doi.org/10.1016/j.ajog.2005.03.063
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
16260200
Department(s)
Administration and Leadership
Document Type
Article