Cohen vs Pfannenstiel cesarean skin incision for body mass index ≥35 kg/m

Document Type

Article

Publication Date

10-18-2024

Abstract

BACKGROUND: Maternal obesity is recognized as a significant risk factor for adverse pregnancy outcomes, including increased cesarean delivery rates and heightened surgical complications. It is unclear whether the Cohen or Pfannenstiel skin incisions for cesarean delivery are associated with different outcomes.

OBJECTIVE: This study aimed to evaluate the effect of a Cohen or Pfannenstiel cesarean skin incision on maternal morbidity.

STUDY DESIGN: Pregnant individuals with a body mass index of ≥35 kg/m

RESULTS: Of 331 pregnant individuals who consented prenatally and in labor, 72 eventually underwent cesarean delivery and were randomized, 34 to the Cohen skin incision group and 38 to the Pfannenstiel skin incision group. The mean body mass index was >42 kg/m

CONCLUSION: In pregnant patients with a body mass index of ≥35 kg/m

Publication Title

Am J Obstet Gynecol MFM

Volume

6

Issue

12

First Page

101528

Last Page

101528

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