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Post-operative Procedures for Caesarean Sections: A Review of Clinical Effectiveness and Guidelines

Last updated: July 29, 2019
Project Number: RC1156-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of removing or replacing surgical dressings at 48 hours versus other timeframes following caesarean section?
  2. What is the clinical effectiveness of silver-hydrocolloid surgical dressings versus other surgical dressing types following caesarean section?
  3. What are the evidence-based guidelines regarding post-operative care for surgical wounds following caesarean sections?

Key Message

No relevant evidence regarding the timing of removal or replacement of surgical dressings after caesarean section, or the use of different types of surgical dressings after caesarean section, was identified. One rigorously-developed guideline indicated that no recommendation could be made for or against the routine use of negative pressure dressing therapy, barrier retractors, and subcutaneous trains, for the reduction of wound infection in mothers with a body mass index of 30 kg/m2 (based on low- to moderate-quality evidence). No guidelines on the use of other types of surgical dressings were identified.