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dc.contributor.authorChaboyer, Wendy
dc.contributor.authorEllwood, David
dc.contributor.authorThalib, Lukman
dc.contributor.authorKumar, Sailesh
dc.contributor.authorMahomed, Kassam
dc.contributor.authorKang, Evelyn
dc.contributor.authorGillespie, Brigid M
dc.date.accessioned2021-10-04T22:43:05Z
dc.date.available2021-10-04T22:43:05Z
dc.date.issued2021
dc.identifier.issn0004-8666
dc.identifier.doi10.1111/ajo.13428
dc.identifier.urihttp://hdl.handle.net/10072/408322
dc.description.abstractBackground: Surgical site infection (SSI) after a caesarean section is of concern (CS) is of concern to both clinicians and women themselves. Aims: The aim of this study is to identify the cumulative incidence and predictors of SSI in women who are obese and give birth by elective CS. Materials and Methods: The method used was planned secondary analysis of data from women with a pre-pregnancy body mass index (BMI) ≥30 kg/m2 giving birth by elective CS in a multicentre randomised controlled trial of a prophylactic closed-incision negative pressure wound therapy dressing. Data were collected from medical records, direct observations of the surgical site and self-reported signs and symptoms from October 2015 to December 2019. The Centers for Disease Control and Prevention definition was used to identify SSI. Women were followed up once in hospital just before discharge and then weekly for four weeks after discharge. Blinded outcome assessors determined SSI. After the cumulative incidence of SSI was calculated, multiple variable logistic regression models were used to identify independent risk factors for SSI. Results: SSI incidence in 1459 women was 8.4% (122/1459). Multiple variable-adjusted odds ratios (OR) for SSI were BMI ≥40 kg/m2 (OR 1.55, 95% confidence interval (CI) 1.30–1.86) as compared to BMI 30–34.9 0 kg/m2, ≥2 previous pregnancies (OR 1.38, 95% CI 1.00–1.80) as compared to no previous pregnancies and pre-CS vaginal cleansing (OR 0.55, 95% CI 0.33–0.99). Conclusions: Our findings may inform preoperative counselling and shared decision-making regarding planned elective CS for women with pre-pregnancy BMI ≥30 kg/m2.
dc.description.peerreviewedYes
dc.description.sponsorshipAustralian College of Perioperative Nurses (ACORN)
dc.languageEnglish
dc.publisherWiley
dc.relation.ispartofjournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/APP1081026
dc.relation.grantIDAPP1081026
dc.relation.fundersNHMRC
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3213
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsObstetrics & Gynecology
dc.subject.keywordscaesarean section
dc.subject.keywordsobesity
dc.titleIncidence and predictors of surgical site infection in women who are obese and give birth by elective caesarean section: A secondary analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationChaboyer, W; Ellwood, D; Thalib, L; Kumar, S; Mahomed, K; Kang, E; Gillespie, BM, Incidence and predictors of surgical site infection in women who are obese and give birth by elective caesarean section: A secondary analysis, Australian and New Zealand Journal of Obstetrics and Gynaecology, 2021
dcterms.dateAccepted2021-08-23
dc.date.updated2021-09-23T21:57:25Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextFull Text
gro.griffith.authorKang, Evelyn P.
gro.griffith.authorGillespie, Brigid M.
gro.griffith.authorEllwood, David A.
gro.griffith.authorThalib, Lukman
gro.griffith.authorChaboyer, Wendy


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