Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial

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dc.contributor.authorKilic, Gokhan Sami
dc.contributor.authorDemirdag, Erhan
dc.contributor.authorFindik, Mehmet Fatih
dc.contributor.authorLutfi Tapisiz, Omer
dc.contributor.authorSak, Muhammet Erdal
dc.contributor.authorAltinboga, Orhan
dc.contributor.authorSak, Sibel
dc.date.accessioned2024-04-24T16:24:27Z
dc.date.available2024-04-24T16:24:27Z
dc.date.issued2021
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe compared wound dressing removal at 24 hours versus 48 hours following low-risk caesarean deliveries. This multicentre, randomised, controlled study included patients 18-44 years of age with low-risk term, singleton pregnancies. The randomisation was done weekly. Scheduled caesarean deliveries without labour were included. For comparison, the Additional treatment, Serous discharge, Erythema, Purulent exudate, Separation of deep tissues, Isolation of bacteria, Stay in hospital > 14 days (ASEPSIS) score for wound healing assessment was modified. The absolute scores were obtained based on a one-day reading rather than the five-day reading used in ASEPSIS. Zero (0) was assigned as a complete healing. Higher scores were associated with more severe disruption of healing. The patients were enrolled between March 2015 and February 2017. The demographics were not statistically different. The wound scoring was similar in the groups at discharge and first-week evaluation. At the six weeks post-surgery, the wound scoring was significantly less in the 48-hour (3.9%) versus the 24-hour group (9%; p = .002). Dressing removal at 48 hours had a lower scoring in the low-risk population with scheduled caesarean deliveries.IMPACT STATEMENT What is already known on this subject? Surgical dressings are used to provide suitable conditions to heal caesarean incisions. There has been a limited number of studies on the evaluation of ideal timing on wound dressing removal after a caesarean delivery. These studies concluded there are no increased wound complications with removal at six hours versus 24 hours or within or beyond 48 hours after surgery. What do the results of this study add? The postoperative removal of the wound dressing at 48 hours had a lower wound score at six weeks than the removal at 24 hours for women with uncomplicated scheduled caesarean deliveries. What are the implications of these findings for clinical practice and/or further research? Early discharge after caesarean delivery is becoming more common. Dressing removal at 24 hours versus 48 hours becomes more crucial and needs to be clarified. Besides, high-risk populations, different skin closure techniques, and patients in labour should be addressed separately.en_US
dc.identifier.doi10.1080/01443615.2020.1736015
dc.identifier.endpage352en_US
dc.identifier.issn0144-3615
dc.identifier.issn1364-6893
dc.identifier.issue3en_US
dc.identifier.pmid32312139
dc.identifier.scopus2-s2.0-85083734717
dc.identifier.scopusqualityQ3
dc.identifier.startpage348en_US
dc.identifier.urihttps://doi.org/10.1080/01443615.2020.1736015
dc.identifier.urihttps://hdl.handle.net/11468/16717
dc.identifier.volume41en_US
dc.identifier.wosWOS:000527591700001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTaylor & Francis Incen_US
dc.relation.ispartofJournal of Obstetrics and Gynaecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDressingen_US
dc.subjectHealingen_US
dc.subjectCaesarean Deliveryen_US
dc.subjectIncisionen_US
dc.subjectAsepsisen_US
dc.titleImpact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trialen_US
dc.titleImpact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial
dc.typeArticleen_US

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