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 R. Saade; Ashley E. Salazar; David M. Stamilio; Alison M. Stuebe; Alan T.N. Tita; Caroline M. Torres; Michael W. Varner; Ronald J. Wapner

doi:10.1055/s-0036-1586750

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 R. Saade, Ashley E. Salazar, David M. Stamilio, Alison M. Stuebe, Alan T.N. Tita, Caroline M. Torres, Michael W. Varner, Ronald J. Wapner

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

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 language	English (US)
Pages (from-to)	289-294
Number of pages	6
Journal	American Journal of Perinatology
Volume	34
Issue number	3
DOIs	https://doi.org/10.1055/s-0036-1586750
State	Published - Feb 1 2017
Externally published	Yes

Keywords

cesarean delivery
obesity
patient preference
survey

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1055/s-0036-1586750

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Smid, M. C., Edwards, R. K., Biggio, J. R., Dorman, K., Leduke, R. C., Lesher, L. L., Manuck, T. A., Saade, G. R., Salazar, A. E., Stamilio, D. M., Stuebe, A. M., Tita, A. T. N., Torres, C. M., Varner, M. W., & Wapner, R. J. (2017). Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey. American Journal of Perinatology, 34(3), 289-294. https://doi.org/10.1055/s-0036-1586750

Smid, MC, Edwards, RK, Biggio, JR, Dorman, K, Leduke, RC, Lesher, LL, Manuck, TA, Saade, GR, Salazar, AE, Stamilio, DM, Stuebe, AM, Tita, ATN, Torres, CM, Varner, MW & Wapner, RJ 2017, 'Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision: A Multicenter Survey', American Journal of Perinatology, vol. 34, no. 3, pp. 289-294. https://doi.org/10.1055/s-0036-1586750

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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.",

keywords = "cesarean delivery, obesity, patient preference, survey",

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

note = "Publisher Copyright: {\textcopyright} 2017 by Thieme Medical Publishers, Inc.",

year = "2017",

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doi = "10.1055/s-0036-1586750",

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T1 - Class III Obese Women's Preferences and Concerns for Cesarean Skin Incision

T2 - A Multicenter Survey

AU - Smid, Marcela C.

AU - Edwards, Rodney K.

AU - Biggio, Joseph R.

AU - Dorman, Karen

AU - Leduke, Rachel C.

AU - Lesher, Laurie L.

AU - Manuck, Tracy A.

AU - Saade, George R.

AU - Salazar, Ashley E.

AU - Stamilio, David M.

AU - Stuebe, Alison M.

AU - Tita, Alan T.N.

AU - Torres, Caroline M.

AU - Varner, Michael W.

AU - Wapner, Ronald J.

PY - 2017/2/1

Y1 - 2017/2/1

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.

KW - cesarean delivery

KW - obesity

KW - patient preference

KW - survey

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SN - 0735-1631

VL - 34

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JF - American Journal of Perinatology

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ER -

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

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