{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:01:34Z","timestamp":1780038094848,"version":"3.53.1"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare maternal and neonatal outcomes between midline vertical and transverse abdominal incisions during emergency cesarean delivery for placental abruption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, 152 patients were included. Propensity score matching (PSM) was used to balance baseline characteristics, resulting in 106 well-matched patients (41 vertical, 65 transverse). Surgical metrics, laboratory parameters, and a composite adverse outcome were compared. Independent predictors were identified via multivariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After PSM, the vertical group had a shorter median decision-to-delivery interval (DDI: 17.0 vs. 28.0 min,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001) but a significantly higher incidence of the composite adverse outcome (75.6% vs. 32.3%,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001), surgical site complications (29.3% vs. 0%), preterm birth, neonatal asphyxia, and NICU admission. Vertical incision (adjusted OR = 3.59, 95% CI 1.04\u201312.38), earlier gestational age, lower preoperative fibrinogen, and shorter DDI were independent risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this PSM analysis, vertical incision was associated with faster delivery but also with significantly worse composite maternal-neonatal outcomes. These findings underscore a trade-off between speed and morbidity. However, confounding by indication may influence this association. Incision selection in this setting warrants individualized assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1804028","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:02:37Z","timestamp":1780034557000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vertical versus transverse abdominal incision in placental abruption: a propensity score-matched study on the trade-off between speed and maternal-neonatal safety"],"prefix":"10.3389","volume":"13","author":[{"given":"Kai Sun","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia Chu","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Lan","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi Mei","family":"He","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Rong","family":"He","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ni","family":"Bei","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie Cheng","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian Chun","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Second Nanning People\u2019s Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning","place":["Guangxi, 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