Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial

Gokhan Sami Kilic, Erhan Demirdag, Mehmet Fatih Findik, Omer Lutfi Tapisiz, Muhammet Erdal Sak, Orhan Altinboga, Sibel Sak, Bekir Serdar Unlu, Mehmet Siddik Evsen, Burak Zeybek, Mostafa Borahay, Yong Fang Kuo

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


We compared wound dressing removal at 24 hours versus 48 hours following low-risk caesarean deliveries. This multicentre, randomised, controlled study included patients 18−44 years of age with low-risk term, singleton pregnancies. The randomisation was done weekly. Scheduled caesarean deliveries without labour were included. For comparison, the Additional treatment, Serous discharge, Erythema, Purulent exudate, Separation of deep tissues, Isolation of bacteria, Stay in hospital > 14 days (ASEPSIS) score for wound healing assessment was modified. The absolute scores were obtained based on a one-day reading rather than the five-day reading used in ASEPSIS. Zero (“0”) was assigned as a complete healing. Higher scores were associated with more severe disruption of healing. The patients were enrolled between March 2015 and February 2017. The demographics were not statistically different. The wound scoring was similar in the groups at discharge and first-week evaluation. At the six weeks post-surgery, the wound scoring was significantly less in the 48-hour (3.9%) versus the 24-hour group (9%; p =.002). Dressing removal at 48 hours had a lower scoring in the low-risk population with scheduled caesarean deliveries.IMPACT STATEMENTWhat is already known on this subject? Surgical dressings are used to provide suitable conditions to heal caesarean incisions. There has been a limited number of studies on the evaluation of ideal timing on wound dressing removal after a caesarean delivery. These studies concluded there are no increased wound complications with removal at six hours versus 24 hours or within or beyond 48 hours after surgery. What do the results of this study add? The postoperative removal of the wound dressing at 48 hours had a lower wound score at six weeks than the removal at 24 hours for women with uncomplicated scheduled caesarean deliveries. What are the implications of these findings for clinical practice and/or further research? Early discharge after caesarean delivery is becoming more common. Dressing removal at 24 hours versus 48 hours becomes more crucial and needs to be clarified. Besides, high-risk populations, different skin closure techniques, and patients in labour should be addressed separately.

Original languageEnglish (US)
Pages (from-to)348-352
Number of pages5
JournalJournal of Obstetrics and Gynaecology
Issue number3
StatePublished - Apr 3 2021


  • Dressing
  • caesarean delivery
  • healing
  • incision

ASJC Scopus subject areas

  • Obstetrics and Gynecology


Dive into the research topics of 'Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial'. Together they form a unique fingerprint.

Cite this