A randomized study of closure of the peritoneum at cesarean delivery

Article Abstract:

Cesarean section is one of the most common forms of intraperitoneal (abdominal) surgery performed in the United States. The procedure involves making a cut or incision in the abdomen, the peritoneal membranes that form a sac surrounding the internal organs in the abdominal cavity, and the uterus. In the past it has been common practice to surgically close the cut made in the peritoneal membranes. However, recent studies have indicated that this may not be necessary and may even cause more harm than good. Several studies have reported that the stitches may delay healing and may promote the formation of scar tissue that can cause other internal problems. To investigate this issue, 113 women undergoing cesarean section were studied. During the cesarean section, the peritoneal membranes were surgically closed in 59 of the women and not closed (i.e. left to heal on their own) in 54 of the women. Following surgery, the incidence of fever, infection and inflammation of the uterus (endometritis) was the same for both groups. The patients in the surgical-closure group required more pain killers (analgesics) and drugs to maintain normal bowel movements. It is concluded that letting the peritoneal membranes heal without surgical closure following cesarean section does not have an adverse effect on postoperative recovery, and in addition, it reduces the time required for the surgery and the amount of narcotic analgesics, and allows bowel function to return to normal sooner and with less complications. (Consumer Summary produced by Reliance Medical Information, Inc.)

Methods, Surgery, Cesarean section

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Paternal and maternal components of the predisposition to preeclampsia

Article Abstract:

Preeclampsia appears to have a paternal component as well as a maternal component, according to a study of 1,777 men and women whose mothers had preeclampsia during their pregnancy and 3,631 men and women whose mothers did not. Preeclampsia is a serious complication of pregnancy. Men and women whose mothers had preeclampsia during their pregnancy were more likely to have a pregnancy complicated by preeclampsia themselves.

Research

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Risk factors for preeclampsia

Article Abstract:

Risk factors for preeclampsia include a previous episode, high blood pressure, diabetes, multiple pregnancy, and a poor diet. Preeclampsia is a serious complication of pregnancy.

Editorial, Risk factors

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