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Recognise the burden of surgical site complications post-caesarean section

In the world of obstetrics surgery, the impact of surgical site complications (SSC) and surgical site infections (SSI) after a caesarean section cannot be overstated. These complications not only affect the well-being of new mothers but also place a significant burden on our healthcare system.1,2

Did you know?

Identify at-risk patients: a crucial step in prevention

To provide the highest level of care to patients undergoing caesarean sections, a proactive approach is essential to identify those at risk of surgical site complications/infections. This assessment is not merely a step in the process; it's a vital preventive action that can make all the difference in patient outcomes.

Why Accurate Risk Assessment Matters:

  • Timely Intervention: Identifying at-risk patients allows for timely intervention and preventive measures9
  • Customized Care: Tailoring care to a patient's risk profile ensures a personalised approach9
  • Better Outcomes: Accurate assessment may reduce the likelihood of SSC, contributing to better patient outcomes and satisfaction9

Risk Stratification Tool

Empower your surgical team with the tools and knowledge needed to make informed decisions and help protect patients from the burden of SSC/SSI.

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Download our Risk Stratification Tool

Protecting time to bond.
Introducing PICO Therapy - a new standard of caesarean section incision care.




PICO Single Use Negative Pressure Wound Therapy System (sNPWT) has shown to help reduce the risk of surgical site infection (SSI) and length of hospital stay for high-risk caesarean section patients.*10-12

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Learn more about PICO sNPWT Discover why NICE supports PICO sNPWT


Want to know more?

Get in touch with us. We're here to help.

For more information on surgical site complications post-caesarean section and the impact it may pose to your department, simply fill out the form below. Our team is here to provide you with the support and information you need to identifying patients at-risk of developing SSC.

Disclamers and citations

*Compared to conventional dressings/standard care.
**Open-label, pragmatic, randomised study. PICO sNPWT (n=432) vs standard dressings (n=444), p=0.007.
 Saunders C, Nherera LM, Horner A, Trueman P. Single-use negative-pressure wound therapy versus conventional dressings for closed surgical incisions: systematic literature review and meta-analysis. BJS Open. 2021 Jan 8;5(1):zraa003. doi: 10.1093/bjsopen/zraa003.

 

For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.

 

  1. Bullough L, Burns S, Timmons J, Truman P, Megginson S. Reducing c-section wound complications. The Clinical Services Journal. 2015:2-6.
  2. Jenks P, Laurent M, et al. Clinical and economic burden of surgical site infections (SSI) and predicted financial consequences of elimination of SSI from an English hospital. J HospInfect. 2014;86(1):24-33.
  3. Health New Zealand 2024. Report on Maternity Web Tool. Wellington: Health New Zealand. https://www.tewhatuora.govt.nz/for-health-professionals/data-and-statistics/report-on-maternity-web-tool/ [Accessed August 2024].
  4. Gillespie B, Ellwood D, Thalib L, et al. Incidence and risk factors for surgical wound complications in women with body mass index >30 kg/m2 following cesarean delivery: a secondary analysis. Am J Obstet Gynecol Glob Rep 2022;2:100069.
  5. Wloch C et al. Risk factors for surgical infections following C-section. BJOG. 2012;119(11):1324-33.
  6. Bullough L and Wilkinson D. Changing wound care protocols to reduce post-operative caesarean section complications. Presented at Wounds UK, Harrogate, 2012.
  7. Hoff CE, Movva N, Rosen Vollmar AK, Pérez-Escamilla R. Impact of Maternal Anxiety on Breastfeeding Outcomes: A Systematic Review. Adv Nutr. 2019 Sep 1;10(5):816-826. doi: 10.1093/advances/nmy132. PMID: 31079143; PMCID: PMC6743815.
  8. Henman, K., Gordon, C. L., Gardiner, T., Thorn, J., Spain, B., Davies, J., & Baird, R. (2012). Surgical site infections following caesarean section at Royal Darwin Hospital, Northern Territory. Healthcare Infection, 17(2), 47-51. https://doi.org/10.1071/HI11027
  9. NHS England, 2023. Earlier screening, risk assessment and health optimisation in perioperative pathways: guide for providers and integrated care boards. Available at: https://www.england.nhs.uk/long-read/earlier-screening-risk-assessment-and-health-optimisation-in-perioperative-pathways// [Last accessed: May 2024].
  10. Hyldig N, Vinter CA, Kruse M, et al. Prophylactic incisional negative pressure wound therapy reduces the risk of surgical site infection after caesarean section in obese women: A pragmatic randomised clinical trial. BJOG. 2019;126:628-635.
  11. Hyldig N, Joergensen JS, Wu C, et al. Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation. BJOG. 2019;126(5):619-627.
  12. Saunders C, et al. A single use negative pressure system reduces surgical site complications compared with conventional dressings in closed surgical incisions: a systematic literature review with meta-analysis. Poster presented at the European Wound Management Association annual meeting, June 5-7, 2019, Gothenburg, Sweden.
  13. Hyldig N, Möller S, Joergensen JS, Bille C. Clinical evaluation of scar quality following the use of prophylactic negative pressure wound therapy in obese women undergoing cesarean delivery: a trial-based scar evaluation. Ann Plast Surg. 2020 Jul 10. [Epub ahead of print]
  14. Tuuli MG, Martin S, Stout MJ, Steiner HL, Harper LM, Longo S, Cahill AG, Tita AT, Macones GA. 412: Pilot randomized trial of prophylactic negative pressure wound therapy in obese women after cesarean delivery. American Journal of Obstetrics & Gynecology. 2017 Jan 1;216(1):S245.
  15. NICE (2019) PICO negative pressure wound dressings for closed surgical incisions [online] accessible from: https://www.nice.org.uk/guidance/mtg43 [Last accessed: April 2024].

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