News on Wellness

Stitched Rather Than Stapled for Closing a C-section Incisions

Researchers from Thomas Jefferson University report that closing a C-section with sutures is better for mothers than surgical staples, as it leads to fewer complications. Having examined a total of 746 pregnant women who received cesarean sections.

The researchers followed the women for the number and severity of wound complications they experienced, such as infection, wound re-opening, and build-up of blood or lymphatic fluid around the scar.

After controlling for age, race, number of previous C-sections and other factors, researchers established that complications were 57 percent less likely to occur in patients whose incisions were closed with suture.

And also women in the suture group were 80 percent less likely to have re-open their wounds (one cm or greater) compared to those who C-sections were closed with staples.

“There has been ongoing debate in the field about the use of sutures versus staples,” notes senior author Vincenzo Berghella, M.D., director of Maternal Fetal Medicine in the Department of Obstetrics and Gynecology at Thomas Jefferson University. “C-sections are a common procedure in the United States, and yet we still haven’t established the best way to close these incisions.” C-sections are more common among women carrying more than one baby. When it was measured for the first time in 1965, the national US caesarean section rate was 4.5 per cent.

After sharply increasing over the past 10 years, it reached 32.8 per cent in 2010 and 2011. “Based on these results, we recommend that C-section incisions be closed with stitches rather than staples,” scientists concluded.

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