The association between surgical site infections and gestational weight gain in obese women.
Publication details: 2020; ISSN:- 0932-0067
Item type | Current library | Collection | Call number | Status | Date due | Barcode | |
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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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