Abstract
multiparous, to have a preterm delivery, prior CD, higher BMI, diabetes or hypertension compared to women with subcuticular suture (p 0.05). These women more frequently had a vertical skin incision, subcutaneous closure, and subcutaneous drain placement (p 0.05). Overall, 15.6% (170/1085) of women had a wound complication. Incisions closed with staples had a higher proportion of wound complications compared to sutures (22.4% vs. 9.8%) in the unadjusted (OR 2.7, 95% CI 1.9-3.8) and adjusted (OR 2.2, 95% CI 1.4-3.3) analysis. Regardless of skin incision closure, wound complication rates did not differ with subcutaneous closure (OR 1.1, 95% CI 0.7-1.7) or drain placement (OR 1.5, 95% CI 0.6-3.8). CONCLUSION: Skin incision closure at CD with staples is associated with higher rates of wound complications in obese women compared to subcuticular suture. Skin closure with subcuticular suture is therefore recommended over staples in obese women undergoing a CD.
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