Key result
The prevalence of surgical site infection after elective cesarean section was 23.3%, with BMI, subcutaneous fat thickness, lack of antenatal care, and suture type significantly increasing the odds.
Why the study?
Surgical site infection after cesarean section increases maternal morbidity and medical costs, prompting the need to assess its prevalence and indicators.
What is the prevalence and what are the indicators of surgical site infection among women having elective cesarean section?
Cross-Sectional (n=471)
No
What is the prevalence and what are the indicators of surgical site infection among women having elective cesarean section?
Surgical site infection after elective cesarean section is common (23.3%) and associated with high BMI, lack of antenatal care, and increased subcutaneous fat thickness.
High post-cesarean SSI burden supports targeted prevention efforts; leaves open causal impact of risk factors and requires prospective confirmation.
background: Surgical site infection (SSI) after a cesarean section increases maternal morbidity and medical costs (Cooper et al., 2002). Objective of this study: Was to determine the prevalence and indicators of surgical site infection among women having elective cesarean section in maternity hospital Minia University during the period of the study. Methods: A across sectional study was conducted on all 500 women who had elective cesarean section during period from 1st February 2018 till 30 july 2018 in maternity hospital Minia university, obstetrics and gynecology department. Data on history of the patient, patient specific demographic information on potential risk factors and the occurrence of Surgical Site infections in the first 30 days following surgery were collected using pretested data collection form. In addition, relevant data were also abstracted from the medical files of the cases. Then data were cleaned, edited and fed to computer and analyzed using SPSS for window version 19. Finally Statistical test for significance was employed using chi-squared (X 2) where appropriate at 5% level of significance. Results: Among 471 mothers included in the study 119 (23.3%) developed SSI after elective LSCS mainly superficial type (93.3%) include only skin and subsutenous tissue, body mass index more than (30) were 68.1%, lack of antenatal care 90(75.6%)thickness of subcutenous fat more than 2 cm 93.3% and Suturing techniques had significantly increased odds of SSI. Conclusion: It has been revealed that Surgical Site Infections rate is (23.3%)mainly superficial. BMI, Thickness of subcutenous fat, Antenatal care and type of sutures were significantly increased odds of SSI.
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magid et al. (2019) conducted a cross-sectional in Surgical site infection post-cesarean section (n=471). Risk factors (BMI >30, lack of antenatal care, subcutaneous fat >2 cm, suturing techniques) was evaluated on Surgical site infection (SSI) within 30 days following surgery. The prevalence of surgical site infection after elective cesarean section was 23.3%, with BMI, subcutaneous fat thickness, lack of antenatal care, and suture type significantly increasing the odds.
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