An Observational Study for Comparison of Wound Outcome with Interrupted Mattress versus Continuous Subcuticular Suture for Pfannensteil Skin Incision in Caesarean Section

Introduction: Caesarean section is one of the most commonly performed operations today. Pfannenstiel incision in the caesarean section is the most preferred incision nowadays. Given the trend of rising caesarean section rate, wound complications such as disruption or infection, remains an important cause of post caesarean. The aim and objective of this study is to compare the wound outcomes in Pfannensteil incisions closed with mattress sutures and subcuticular sutures using monofilament sutures in caesarean deliveries. Methods: It is a prospective observational study done on 148 consecutive pregnant women who were admitted to labor room for elective or emergency caesarean section. Among 148 women, 74 had mattress sutures and 74 had subcuticular sutures for skin wound closure. Wound complications investigated on postoperative days from 3 to 7 and at the 6-week follow-up, the secondary result was examined. Results: The study looked at 148 pregnant women who had a caesarean section and had similar baseline features and risk factors. The overall incidence of erythema, surgical site infection, wound dehiscence, resuturing and pain was more in mattress group and was statistically significant. Women with subcuticular sutures had a superior cosmetic scar and were more satisfied with their scars at 6 weeks than women with mattress sutures. Conclusions: Subcuticular sutures generate much fewer wound problems and pain in the postoperative period than mattress sutures, at 6 weeks, there was significant difference in pain levels between two skin closure procedures