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The association between surgical site infections and gestational weight gain in obese women.

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Citation: Archives of Gynecology & Obstetrics. 301(6):1411-1416, 2020 06.PMID: 32335737Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Gestational Weight Gain/ph [Physiology] | *Surgical Wound Infection/co [Complications] | Adult | Female | Humans | Pregnancy | Retrospective StudiesYear: 2020 ISSN:

0932-0067

Name of journal: Archives of gynecology and obstetricsAbstract: CONCLUSION: Among obese women, GWG was not associated with surgical site infections.METHODS: This was a retrospective study of all obese women with singleton pregnancies undergoing cesarean delivery at >= 23 weeks' gestation between January 2012 and June 2018. Women were categorized according to GWG: below, within, and above the IOM guidelines. Our primary outcome was a composite of surgical site infections. Coarsened Exact Matching with k-to-k solution was performed using predefined variables.PURPOSE: To examine an association between gestational weight gain (GWG), defined by the Institute of Medicine (IOM) guidelines, and surgical site infections in obese women.RESULTS: Of 2376 obese women, 429 (18.1%), 449 (18.9%), and 1498 (63.0%) had GWG below, within, and above the IOM guidelines, respectively. After matching, there was no difference in a rate of the primary outcome between women with GWG below the IOM guidelines and those with GWG within the IOM guidelines (6.7% [20/300] vs 4.3% [13/300]; P = .21). Similarly, there was no difference in the rate of the primary outcome between women with GWG above the IOM guidelines and those with GWG within the IOM guidelines (5.7% [24/421] vs 5.2% [22/421]; P = .76).All authors: Coviello E, Kawakita TOriginally published: Archives of Gynecology & Obstetrics. 301(6):1411-1416, 2020 Jun.Fiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1007/s00404-020-05548-9

Date added to catalog: 2020-07-09

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Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32335737	Available		32335737

CONCLUSION: Among obese women, GWG was not associated with surgical site infections.

METHODS: This was a retrospective study of all obese women with singleton pregnancies undergoing cesarean delivery at >= 23 weeks' gestation between January 2012 and June 2018. Women were categorized according to GWG: below, within, and above the IOM guidelines. Our primary outcome was a composite of surgical site infections. Coarsened Exact Matching with k-to-k solution was performed using predefined variables.

PURPOSE: To examine an association between gestational weight gain (GWG), defined by the Institute of Medicine (IOM) guidelines, and surgical site infections in obese women.

RESULTS: Of 2376 obese women, 429 (18.1%), 449 (18.9%), and 1498 (63.0%) had GWG below, within, and above the IOM guidelines, respectively. After matching, there was no difference in a rate of the primary outcome between women with GWG below the IOM guidelines and those with GWG within the IOM guidelines (6.7% [20/300] vs 4.3% [13/300]; P = .21). Similarly, there was no difference in the rate of the primary outcome between women with GWG above the IOM guidelines and those with GWG within the IOM guidelines (5.7% [24/421] vs 5.2% [22/421]; P = .76).

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