OBJECTIVE: This study was undertaken to examine the association between pregestational diabetes mellitus (DM) and wound complications after cesarean delivery (CD). STUDY DESIGN: This was a retrospective, observational cohort study in patients with type 1 and 2 DM compared with non-DM controls undergoing CD. Wound complications were defined as wound infection, wound separation greater than 1 cm, and wound dehiscence. RESULTS: There was an overall incidence of wound complications of 18.4% (34/185) in DM versus 5.8% (10/174) in non-DM (unadjusted odds ratio of 3.7; 95% CI = 1.8-7.7). Mean body mass index before pregnancy was 30.9 in DM versus 26.5 kg/m 2 in non-DM (P < .01). A multivariable logistic regression model adjusting for body mass index, length of surgery, and previous CD demonstrated a 2.5-fold increased risk of wound complications in DM patients compared with non-DM patients (95% CI = 1.1-5.5). CONCLUSION: Pregestational diabetes is associated with a 2.5-fold increase in wound complications after CD.
OBJECTIVE: This study was undertaken to examine the association between pregestational diabetes mellitus (DM) and wound complications after cesarean delivery (CD). STUDY DESIGN: This was a retrospective, observational cohort study in patients with type 1 and 2 DM compared with non-DM controls undergoing CD. Wound complications were defined as wound infection, wound separation greater than 1 cm, and wound dehiscence. RESULTS: There was an overall incidence of wound complications of 18.4% (34/185) in DM versus 5.8% (10/174) in non-DM (unadjusted odds ratio of 3.7; 95% CI = 1.8-7.7). Mean body mass index before pregnancy was 30.9 in DM versus 26.5 kg/m 2 in non-DM (P < .01). A multivariable logistic regression model adjusting for body mass index, length of surgery, and previous CD demonstrated a 2.5-fold increased risk of wound complications in DMpatients compared with non-DMpatients (95% CI = 1.1-5.5). CONCLUSION: Pregestational diabetes is associated with a 2.5-fold increase in wound complications after CD.
Authors: Ahmed Khan Sangrasi; Abdul Aziz Leghari; Aisha Memon; Altaf K Talpur; Ghulam Ali Qureshi; Jan Mohammad Memon Journal: Int Wound J Date: 2008-01-03 Impact factor: 3.315
Authors: Colleen D Acosta; Marian Knight; Henry C Lee; Jennifer J Kurinczuk; Jeffrey B Gould; Audrey Lyndon Journal: PLoS One Date: 2013-07-02 Impact factor: 3.240
Authors: Reem Zeki; Alex Y Wang; Kei Lui; Zhuoyang Li; Jeremy J N Oats; Caroline S E Homer; Elizabeth A Sullivan Journal: BMJ Paediatr Open Date: 2018-01-30