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Panniculus Retractor Use During Scheduled Cesarean Section: Potential Neonatal Impact by Kali Stewart; Katherine Carbonell; Jaclynne Hedge; Jeannie C. Kelly; Nandini Raghuraman; Antonina I. Frolova; Rebecca R. Rimsza is a Medicine article available to read on EtoBox.

What is Panniculus Retractor Use During Scheduled Cesarean Section: Potential Neonatal Impact about?

OBJECTIVE: Use of a disposable panniculus retractor (DPR) during cesarean section (CS) improves surgical site visualization in obese women. However, whether this redistribution of weight onto the uterus and abdominal vasculature just prior to delivery impacts neonatal outcomes is unclear. To assess the potential downstream effect of DPR, we investigated neonatal outcomes after scheduled CS for deliveries using DPR. STUDY DESIGN: A retrospective cohort study of term pregnant patients with body mass index (BMI) ! 40.00 kg/m 2 who underwent a scheduled CS at a tertiary care center from June, 2018 to May, 2019. CS using a DPR were compared to those without. Exclusion criteria included multiple gestation, fetal anomalies and general anesthesia. Universal umbilical artery (UA) cord gas collection is performed at our institution. The primary outcome was UA pH. Secondary outcomes were UA pH< 7.1, APGAR scores at 1 min and 5 min, neonatal intensive care (NICU) admission, and other UA gas parameters. Descriptive statistics and univariate analysis were performed. Multivariable logistic regression was used to adjust for potential confounders. RESULTS: 91 patients met inclusion criteria, includ

Who reads Panniculus Retractor Use During Scheduled Cesarean Section: Potential Neonatal Impact?

Author

Kali Stewart; Katherine Carbonell; Jaclynne Hedge; Jeannie C. Kelly; Nandini Raghuraman; Antonina I. Frolova; Rebecca R. Rimsza

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)