While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change in guidelines for low-income settings in which resources are limited for treating complications that may be life threatening.
International Journal of Gynecology and Obstetrics, 2014, Vol 125, Issue 1, p. 1-2
Cesarean Section; Developing Countries; Female; Humans; Infant, Newborn; International Cooperation; Practice Guidelines as Topic; Pregnancy; Time Factors; Journal Article