Kitson-Reynolds, Ellen (2021) A guide to caesarean wound healing. British Journal of Midwifery, 29 (Sup8a), 1-8. (doi:10.12968/bjom.2021.29.Sup8a.1).
Abstract
This guide presents recommendations for midwives and obstetricians on the subject of wound healing; in relation to surgical site infections (SSI) post-caesarean section (CS) using negative pressure wound therapy (NPWT) for at-risk groups. Background It is well documented that there has been a steady growth in CS rates since the 1980s (Betrán et al, 2016), despite the World Health Organization's ([WHO], 2015) reiteration in 1985 of an 'ideal' CS rate globally of 10%–15%. Bragg et al (2010) asserts a CS increase in England from 9% in 1980 to 24.6% by 2008–2009. The National Maternity and Perinatal Audit ([NMPA], 2019) Project Team reports a birth rate of 700 000 during 2016–2017 in the NHS across England, Wales and Scotland, of which approximately 1 in 4 women were delivered by CS (Bhatia et al, 2021); a statistic reiterated within the National Institute for Health and Care Excellence ([NICE], (2021) caesarean birth guidance. The WHO (2015) affirms that when medically necessary, CS prevents maternal and newborn mortality (Boerma et al, 2018; Sandall et al, 2018). There are many speculated reasons for this increase, such as rising maternal age at first.
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