The Effect of Subcutaneous Saline Irrigation on Wound Complication after Cesarean Section: a Randomized Controlled Tria

Abstract

esarean delivery (also called cesarean section and cesarean birth) is often cited as the most common major surgical procedure performed in an operating room in the United States. Over 1.2 million cesarean deliveries are performed yearly in the United States and comprise almost one-third of births. It is also a common procedure in many countries worldwide, and the rate is generally rising. Concerns about the rising rate has prompted medical organizations to suggest potential interventions to reduce the rate of unnecessary procedures, such as better childbirth preparation, second opinion before/peer review after a cesarean, broader midwifery-led care, more trials of labor after a cesarean, continuous labor support, and changes in current financial incentives/disincentives. Wound complication include surgical site infection as well as non infectious complications as hematoma seroma and wound separtion. The incidence of noninfectious surgical site complications such as seroma and hematoma after cesarean section ranges between 3% and 30%, which may result in wound dehiscence and surgical site infection. A wound is a disruption of the normal structure and function of the skin and soft tissue architecture. An acute