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Indian Journal of Obstetrics and Gynecology

Volume  5, Issue 3 (Supplement), Jul-Sep 2017, Pages 280-280
 

Original Article

Day 3 Dressing Versus Direct Suture Removal on Day 7 on Wound Healing and Maternal Morbidity in Patients Undergoing LSCS

Ratna Bulusu, Aritra Maji,Roshini P.,Chandrachur Konar

Ratna Bulusu Professor, Department Obstetrics and Gynaecology, MVJ MC and Research Hospital, Bangalore, Karnataka, India.,Aritra Maji Senior resident, Department Obstetrics and Gynaecology, MVJ MC and Research Hospital, Bangalore, Karnataka, India., Roshini P., Junior Resident, Department Obstetrics and Gynaecology, MVJ MC and Research Hospital, Bangalore, Karnataka, India.,Chandrachur Konar Junior resident, Department Obstetrics and Gynaecology, MVJ MC and Research Hospital, Bangalore, Karnatak

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Abstract

The aim of this study was to find out the incidence and patient morbidity with associated risk factors of surgical site infection among cesarean section cases in whom direct suture removal was done on day 7 as compared to cases where dressing done on day 3. A prospective, descriptive study conducted at MVJMC and RH. Patients who underwent surgical procedure for delivery during study period were included in the study. The patients undergoing LSCS were randomly selected into Group A of 50 cases where direct suture removal was done on day 7 and Group B of 50 cases where dressing was done on day 3. Other factors like primary CS, Repeat CS, and other comorbidities were also taken into consideration. All data of various groups were tabulated and statistically analysed using suitable statistical tests (Student’s t test). P value < 0.05 will be considered to be moderately significant & p value <0.01 as strongly significant. This Study concluded that • Secondary LSCS has higher chance of wound infection compared to primary LSCS which was pstatistically significant. • In secondary LSCS, change of dressing was associated with more infection compared to intact dressing which was statistically significant • When suture material silk was used, change of dressing was associated with more wound infection as compared to intact dressing which was statistically significant