| Evidence-based surgery for cesarean delivery. | |
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MedLine Citation:
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PMID: 16260200 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to provide evidenced-based guidance for surgical decisions during cesarean delivery. STUDY DESIGN: We performed MEDLINE, PubMed, EMBASE, and COCHRANE searches with the terms cesarean section, cesarean delivery, cesarean, pregnancy, randomized trials, and each technical aspect of cesarean delivery. All randomized trials that covered a surgical aspect of cesarean delivery were included in the review. Each surgical step of cesarean delivery was reviewed separately. RESULTS: US Preventive Services Task Force recommendations favor blunt uterine incision expansion, prophylactic antibiotics (either ampicillin or first-generation cephalosporin for just 1 dose), spontaneous placental removal, non-closure of both visceral and parietal peritoneum, and suture closure or drain of the subcutaneous tissue when thickness is > or =2 cm. CONCLUSION: Cesarean delivery techniques that are supported by good quality recommendations should be performed routinely. All technical aspects that have recommendations with lower quality should be researched with adequately powered and designed trials. |
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Authors:
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Vincenzo Berghella; Jason K Baxter; Suneet P Chauhan |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 193 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2005 Nov |
Date Detail:
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Created Date: 2005-11-01 Completed Date: 2006-01-19 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1607-17 Citation Subset: AIM; IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA. vincenzo.berghella@jefferson.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section
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methods*,
standards* Evidence-Based Medicine* Female Humans Practice Guidelines as Topic Pregnancy |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 2006 Oct;195(4):1186; author reply 1187
[PMID:
17000255
]
Am J Obstet Gynecol. 2006 Oct;195(4):1187-8; author reply 1188 [PMID: 17000257 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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