{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:10:26Z","timestamp":1783617026249,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T00:00:00Z","timestamp":1631232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1081026"],"award-info":[{"award-number":["APP1081026"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p>Surgical site infection (SSI) after a caesarean section is of concern (CS) is of concern to both clinicians and women themselves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims:<\/jats:title><jats:p>The aim of this study is to identify the cumulative incidence and predictors of SSI in women who are obese and give birth by elective CS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p>The method used was planned secondary analysis of data from women with a pre\u2010pregnancy body mass index (BMI) \u226530\u00a0kg\/m<jats:sup>2<\/jats:sup> giving birth by elective CS in a multicentre randomised controlled trial of a prophylactic closed\u2010incision negative pressure wound therapy dressing. Data were collected from medical records, direct observations of the surgical site and self\u2010reported signs and symptoms from October 2015 to December 2019. The Centers for Disease Control and Prevention definition was used to identify SSI. Women were followed up once in hospital just before discharge and then weekly for four\u00a0weeks after discharge. Blinded outcome assessors determined SSI. After the cumulative incidence of SSI was calculated, multiple variable logistic regression models were used to identify independent risk factors for SSI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>SSI incidence in 1459 women was 8.4% (122\/1459). Multiple variable\u2010adjusted odds ratios (OR) for SSI were BMI \u226540\u00a0kg\/m<jats:sup>2<\/jats:sup> (OR 1.55, 95% confidence interval (CI) 1.30\u20131.86) as compared to BMI 30\u201334.9 0\u00a0kg\/m<jats:sup>2<\/jats:sup>, \u22652 previous pregnancies (OR 1.38, 95% CI 1.00\u20131.80) as compared to no previous pregnancies and pre\u2010CS vaginal cleansing (OR 0.55, 95% CI 0.33\u20130.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>Our findings may inform preoperative counselling and shared decision\u2010making regarding planned elective CS for women with pre\u2010pregnancy BMI \u226530\u00a0kg\/m<jats:sup>2<\/jats:sup>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13428","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T13:05:32Z","timestamp":1631279132000},"page":"234-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Incidence and predictors of surgical site infection in women who are obese and give birth by elective caesarean section: A secondary analysis"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9528-7814","authenticated-orcid":false,"given":"Wendy","family":"Chaboyer","sequence":"first","affiliation":[{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care and Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4512-6443","authenticated-orcid":false,"given":"David","family":"Ellwood","sequence":"additional","affiliation":[{"name":"School of Medicine, Griffith University Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1211-6495","authenticated-orcid":false,"given":"Lukman","family":"Thalib","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Faculty of Medicine Istanbul Aydin University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0832-4811","authenticated-orcid":false,"given":"Sailesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Faculty of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Mater Mothers\u2019 Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5979-8091","authenticated-orcid":false,"given":"Kassam","family":"Mahomed","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Faculty of Medicine University of Queensland, Ipswich Hospital  Ipswich Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8253-1638","authenticated-orcid":false,"given":"Evelyn","family":"Kang","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-5691","authenticated-orcid":false,"given":"Brigid M.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care and Menzies Health Institute Queensland &amp; Gold Coast University Hospital Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,10]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Caesarean Sections. 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