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Am J Obstet Gynecol. 2004 Sep;191(3):958-63.

Risk of cesarean wound complications in diabetic gestations.

Author information

1
Department of Obstetrics and Gynecology, Brown University, Providence, RI, USA. tlc16@columbia.edu

Abstract

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.

PMID:
15467572
DOI:
10.1016/j.ajog.2004.05.063
[Indexed for MEDLINE]
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