Cesarean delivery complications in women with morbid obesity

Kelly Yamasato, Kurt Yoshino, Ann L. Chang, Aaron B. Caughey, Pai Jong Tsai

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Objective: To compare cesarean complication rates between women with body mass index (BMI) 40–49.9 kg/m2 and BMI ≥ 50 kg/m2 and associations with surgical techniques. Methods: This retrospective cohort study from 2009 to 2014 included women who underwent cesarean with delivery BMI ≥ 50 and an equal number with BMI 40–49.9. Wound infections and/or separations were compared. We also examined wound complication rates between skin closure techniques and self-retaining retractor use. Results: Among 498 patients (249 with BMI ≥ 50 and 249 with BMI 40–49.9) there were no differences in estimated blood loss >1000 mL, blood transfusion, deep vein thrombosis or endometritis. Among those with outpatient follow-up (144 with BMI ≥ 50 and 162 with BMI 40–49.9), those with BMI ≥ 50 had a significantly higher rate of wound separations (p = 0.01) but not infections. There were no differences in wound complication rates between skin closure techniques or self-retaining retractor use, though the study was not powered for these comparisons. Conclusion: Wound complications, particularly separations, increase with BMI ≥ 50 compared to a lesser degree of morbid obesity. Skin closure techniques and self-retaining retractor use were not associated with cesarean wound complications in patients with morbid obesity.

Original languageEnglish (US)
Pages (from-to)3885-3888
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Issue number23
StatePublished - Dec 1 2016


  • Body mass index
  • cesarean section
  • delivery
  • morbid
  • obesity
  • obstetric
  • pregnancy
  • surgical stapling
  • sutures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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