European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 154, Issue 1 , Pages 16-19 , January 2011

Abdominal surgical incisions and perioperative morbidity among morbidly obese women undergoing cesarean delivery

  • Jason Bell

      Affiliations

    • Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta, GA, USA
    • Department of Obstetrics & Gynecology, University of Michigan School of Medicine, Ann Arbor, MI, USA
    • ,
  • Susan Bell

      Affiliations

    • Division of Health Promotion and Risk Reduction, School of Nursing, University of Michigan, Ann Arbor, MI, USA
    • ,
  • Anjel Vahratian

      Affiliations

    • Department of Obstetrics & Gynecology, University of Michigan School of Medicine, Ann Arbor, MI, USA
    • ,
  • Awoniyi O. Awonuga

      Affiliations

    • Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta, GA, USA
    • Division of Reproductive Endocrinology & Infertility, Wayne State University School of Medicine, Detroit, MI, USA
    • Corresponding Author InformationCorresponding author at: Division of Reproductive Endocrinology & Infertility, Wayne State University School of Medicine, 3800 Woodward Avenue, Suite 206, Detroit, MI 48201, USA. Tel.: +1 347 254 5772; fax: +1 313 993 4534.

Received 6 April 2010 ,Revised 4 July 2010 ,Accepted 25 July 2010.

References 

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  2. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in Obesity among adults, 1999-2008. JAMA. 2010;303:235–241
  3. ACOG Committee Opinion number 315, September 2005 . Obesity in pregnancy. Obstet Gynecol. 2005;106:671–675
  4. ACOG committee opinion. Number 319, October 2005 . The role of obstetrician-gynecologist in the assessment and management of obesity. Obstet Gynecol. 2005;106:895–899
  5. Weiss JL, Malone FD, Emig D, et al. Obesity, obstetric complications and cesarean delivery rate-a population-based screening study. Am J Obstet Gynecol. 2004;190:1091–1097
  6. Rodriguez A, Mejia A, Gonzalez-Quintero VH. Intraoperative and postoperative complications in cesarean deliveries among obese women. Obstet Gynecol. 2008;111:37S
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  8. Wall PD, Deucy EE, Glantz JC, Pressman EK. Vertical skin incisions and wound complications in the obese parturient. Obstet Gynecol. 2003;102:952–956
  9. Lao TT, Halpern SH, Crosby ET, Huh C. Uterine incision and maternal blood loss in preterm caesarean section. Arch Gynecol Obstet. 1993;252:113–117
  10. Balsiger DM, Luque-Deleon E, Sarr MG. Surgical treatment of obesity: who is an appropriate candidate?. Mayo Clin Proc. 1997;72:551–558
  11. Wolfe HM, Gross TL, Sokol RJ, Bottoms SF, Thompson KL. Determinants of morbidity in obese women delivered by cesarean. Obstet Gynecol. 1988;71:691–696
  12. Perlow JH, Morgan MA. Massive maternal obesity and perioperative cesarean morbidity. Am J Obstet Gynecol. 1994;170:560–565
  13. Carswell W. The current status of classical caesarean section. Scott Med J. 1973;18:105–108
  14. Tixier H, Thouvenot S, Coulange L, et al. Cesarean section in morbidly obese women: supra or subumbilical transverse incision?. Acta Obstet Gynecol Scand. 2009;88:1049–1052
  15. Houston MC, Raynor BD. Postoperative morbidity in the morbidly obese parturient woman: supraumbilical and low transverse abdominal approaches. Am J Obstet Gynecol. 2000;182:1033–1035

☆ This study was a poster presentation at ACOG's 57th Annual Clinical Meeting, May 2–6, 2009.

PII: S0301-2115(10)00377-5

doi: 10.1016/j.ejogrb.2010.07.043

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 154, Issue 1 , Pages 16-19 , January 2011

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