Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey

Marcela C. Smid, Rodney K. Edwards, Joseph R. Biggio, Karen Dorman, Rachel C. Leduke, Laurie L. Lesher, Tracy A. Manuck, George Saade, Ashley Salazar, David M. Stamilio, Alison M. Stuebe, Alan T N Tita, Caroline M. Torres, Michael W. Varner, Ronald J. Wapner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective This study aims to assess class III obese women's preferences and concerns regarding cesarean delivery (CD) skin incisions. Study Design Through the National Perinatal Research Consortium (NPRC), women with body mass index ≥ 40 kg/m2 at the time of enrollment completed an anonymous survey in English or Spanish. We evaluated seven domains of preferences and concerns about the cesarean skin incision. Results We surveyed 546 women at five NPRC sites. Median age (interquartile range) was 29 (25, 35) years; 364 (66%) were parous and 161 (30%) had a prior CD. Women self-identified race/ethnicity as White (31%), non-Hispanic Black (31%), Hispanic (31%), other (6%), and not reported (1%). A total of 542 women (99%) rated both delivering the baby in the best possible condition and decreasing incision opening/infection risk as important. Women were less likely to rate other domains as important (all p < 0.001), including: having least pain possible, n = 521 (95%); decreasing the risk of complications in the next pregnancy, n = 490 (90%); decreasing interference with breastfeeding, n = 474 (87%); decreasing operative time, n = 388 (71%); and having the least visible incision, n = 369 (68%). Conclusion Women with class III obesity prioritize immediate maternal and fetal safety regarding CD skin incision over other concerns including cosmetic outcome.

Original languageEnglish (US)
JournalAmerican Journal of Perinatology
DOIs
StateAccepted/In press - Jul 7 2016

Fingerprint

Skin
Operative Time
Surveys and Questionnaires
Breast Feeding
Hispanic Americans
Research
Cosmetics
Body Mass Index
Obesity
Mothers
Safety
Pain
Pregnancy
Infection

Keywords

  • cesarean delivery
  • obesity
  • patient preference
  • survey

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Smid, M. C., Edwards, R. K., Biggio, J. R., Dorman, K., Leduke, R. C., Lesher, L. L., ... Wapner, R. J. (Accepted/In press). Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey. American Journal of Perinatology. https://doi.org/10.1055/s-0036-1586750

Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision : A Multicenter Survey. / Smid, Marcela C.; Edwards, Rodney K.; Biggio, Joseph R.; Dorman, Karen; Leduke, Rachel C.; Lesher, Laurie L.; Manuck, Tracy A.; Saade, George; Salazar, Ashley; Stamilio, David M.; Stuebe, Alison M.; Tita, Alan T N; Torres, Caroline M.; Varner, Michael W.; Wapner, Ronald J.

In: American Journal of Perinatology, 07.07.2016.

Research output: Contribution to journalArticle

Smid, MC, Edwards, RK, Biggio, JR, Dorman, K, Leduke, RC, Lesher, LL, Manuck, TA, Saade, G, Salazar, A, Stamilio, DM, Stuebe, AM, Tita, ATN, Torres, CM, Varner, MW & Wapner, RJ 2016, 'Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey', American Journal of Perinatology. https://doi.org/10.1055/s-0036-1586750
Smid, Marcela C. ; Edwards, Rodney K. ; Biggio, Joseph R. ; Dorman, Karen ; Leduke, Rachel C. ; Lesher, Laurie L. ; Manuck, Tracy A. ; Saade, George ; Salazar, Ashley ; Stamilio, David M. ; Stuebe, Alison M. ; Tita, Alan T N ; Torres, Caroline M. ; Varner, Michael W. ; Wapner, Ronald J. / Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision : A Multicenter Survey. In: American Journal of Perinatology. 2016.
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title = "Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey",
abstract = "Objective This study aims to assess class III obese women's preferences and concerns regarding cesarean delivery (CD) skin incisions. Study Design Through the National Perinatal Research Consortium (NPRC), women with body mass index ≥ 40 kg/m2 at the time of enrollment completed an anonymous survey in English or Spanish. We evaluated seven domains of preferences and concerns about the cesarean skin incision. Results We surveyed 546 women at five NPRC sites. Median age (interquartile range) was 29 (25, 35) years; 364 (66{\%}) were parous and 161 (30{\%}) had a prior CD. Women self-identified race/ethnicity as White (31{\%}), non-Hispanic Black (31{\%}), Hispanic (31{\%}), other (6{\%}), and not reported (1{\%}). A total of 542 women (99{\%}) rated both delivering the baby in the best possible condition and decreasing incision opening/infection risk as important. Women were less likely to rate other domains as important (all p < 0.001), including: having least pain possible, n = 521 (95{\%}); decreasing the risk of complications in the next pregnancy, n = 490 (90{\%}); decreasing interference with breastfeeding, n = 474 (87{\%}); decreasing operative time, n = 388 (71{\%}); and having the least visible incision, n = 369 (68{\%}). Conclusion Women with class III obesity prioritize immediate maternal and fetal safety regarding CD skin incision over other concerns including cosmetic outcome.",
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AU - Dorman, Karen

AU - Leduke, Rachel C.

AU - Lesher, Laurie L.

AU - Manuck, Tracy A.

AU - Saade, George

AU - Salazar, Ashley

AU - Stamilio, David M.

AU - Stuebe, Alison M.

AU - Tita, Alan T N

AU - Torres, Caroline M.

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N2 - Objective This study aims to assess class III obese women's preferences and concerns regarding cesarean delivery (CD) skin incisions. Study Design Through the National Perinatal Research Consortium (NPRC), women with body mass index ≥ 40 kg/m2 at the time of enrollment completed an anonymous survey in English or Spanish. We evaluated seven domains of preferences and concerns about the cesarean skin incision. Results We surveyed 546 women at five NPRC sites. Median age (interquartile range) was 29 (25, 35) years; 364 (66%) were parous and 161 (30%) had a prior CD. Women self-identified race/ethnicity as White (31%), non-Hispanic Black (31%), Hispanic (31%), other (6%), and not reported (1%). A total of 542 women (99%) rated both delivering the baby in the best possible condition and decreasing incision opening/infection risk as important. Women were less likely to rate other domains as important (all p < 0.001), including: having least pain possible, n = 521 (95%); decreasing the risk of complications in the next pregnancy, n = 490 (90%); decreasing interference with breastfeeding, n = 474 (87%); decreasing operative time, n = 388 (71%); and having the least visible incision, n = 369 (68%). Conclusion Women with class III obesity prioritize immediate maternal and fetal safety regarding CD skin incision over other concerns including cosmetic outcome.

AB - Objective This study aims to assess class III obese women's preferences and concerns regarding cesarean delivery (CD) skin incisions. Study Design Through the National Perinatal Research Consortium (NPRC), women with body mass index ≥ 40 kg/m2 at the time of enrollment completed an anonymous survey in English or Spanish. We evaluated seven domains of preferences and concerns about the cesarean skin incision. Results We surveyed 546 women at five NPRC sites. Median age (interquartile range) was 29 (25, 35) years; 364 (66%) were parous and 161 (30%) had a prior CD. Women self-identified race/ethnicity as White (31%), non-Hispanic Black (31%), Hispanic (31%), other (6%), and not reported (1%). A total of 542 women (99%) rated both delivering the baby in the best possible condition and decreasing incision opening/infection risk as important. Women were less likely to rate other domains as important (all p < 0.001), including: having least pain possible, n = 521 (95%); decreasing the risk of complications in the next pregnancy, n = 490 (90%); decreasing interference with breastfeeding, n = 474 (87%); decreasing operative time, n = 388 (71%); and having the least visible incision, n = 369 (68%). Conclusion Women with class III obesity prioritize immediate maternal and fetal safety regarding CD skin incision over other concerns including cosmetic outcome.

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