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Abdominal surgical incisions for caesarean section

  1. Matthews Mathai1,*,
  2. G Justus Hofmeyr2,
  3. Namratha E Mathai3

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 31 MAY 2013

Assessed as up-to-date: 26 APR 2013

DOI: 10.1002/14651858.CD004453.pub3


How to Cite

Mathai M, Hofmeyr GJ, Mathai NE. Abdominal surgical incisions for caesarean section. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD004453. DOI: 10.1002/14651858.CD004453.pub3.

Author Information

  1. 1

    World Health Organization, Department of Maternal; Newborn, Child & Adolescent Health, Geneva, Switzerland

  2. 2

    University of the Witwatersrand, University of Fort Hare, Eastern Cape Department of Health, Department of Obstetrics and Gynaecology, East London Hospital Complex, East London, Eastern Cape, South Africa

  3. 3

    Chambésy, Switzerland

*Matthews Mathai, Department of Maternal; Newborn, Child & Adolescent Health, World Health Organization, Avenue Appia 20, Geneva, CH 1211, Switzerland. mathaim@who.int.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 31 MAY 2013

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[Figure 1]
Figure 1. 'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 2]
Figure 2. 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 1 Postoperative febrile morbidity.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 2 Postoperative analgesia on demand.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 3 Time between surgery and first dose of analgesic (hours).
[Analysis 1.4]
Analysis 1.4. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 4 Total dose of analgesics in 24 hours.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 8 Estimated blood loss (mL).
[Analysis 1.10]
Analysis 1.10. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 10 Blood transfusion.
[Analysis 1.11]
Analysis 1.11. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 11 Wound infection as defined by trial authors.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 16 Time (hours) from surgery to start of breastfeeding.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 17 Total operative time (minutes).
[Analysis 1.18]
Analysis 1.18. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 18 Need for re-laparotomy.
[Analysis 1.21]
Analysis 1.21. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 21 Delivery time (minutes).
[Analysis 1.23]
Analysis 1.23. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 23 Admissions to special care baby unit - all types.
[Analysis 1.24]
Analysis 1.24. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 24 Admission to special care baby unit - emergency caesarean section.
[Analysis 1.25]
Analysis 1.25. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 25 Postoperative hospital stay for mother (days).
[Analysis 1.26]
Analysis 1.26. Comparison 1 Joel-Cohen versus Pfannenstiel incision, Outcome 26 Stay in special care nursery (days).
[Analysis 2.1]
Analysis 2.1. Comparison 2 Muscle-cutting/Maylard versus Pfannenstiel incision, Outcome 1 Postoperative febrile morbidity.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Muscle-cutting/Maylard versus Pfannenstiel incision, Outcome 2 Blood transfusion.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Muscle-cutting/Maylard versus Pfannenstiel incision, Outcome 3 Wound infection as defined by trial authors.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Muscle-cutting/Maylard versus Pfannenstiel incision, Outcome 4 Long-term complication - physical test at 3 months (Janda's test).
[Analysis 2.5]
Analysis 2.5. Comparison 2 Muscle-cutting/Maylard versus Pfannenstiel incision, Outcome 5 Postoperative hospital stay for mother (days).