Effect of Abdominal Vertical Incision and Transverse Incision of Cesarean Section on Postpartum Complications and Maternal Postoperative Recovery
Objective To study the effect of abdominal vertical incision and transverse incision on postpartum complications and postoperative recovery in cesarean section.Methods From April 2019 to April 2023,60 parturients who planned to undergo cesarean section in Yugan Renhe Hospital were selected as the research objects.They were divided into vertical incision group(30 parturients)and transverse incision group(30 parturients)by random number table method.The vertical incision group was treated with vertical incision cesarean section of abdominal wall,while the transverse incision group was treated with transverse incision cesarean section of abdominal wall.The operation related indexes(operation time,intraoperative blood loss,time from laparotomy to fetal removal),postoperative recovery of parturients(postoperative anal exhaust time,hospitalization time,incision healing time),postpartum complications and incision scar[Patient and Observer Scar Assessment Scale(POSAS)]were compared between the two groups.Results The operation time and the time from laparotomy to fetal removal in the vertical incision group were shorter than those in the transverse incision group,and the intraoperative blood loss was less than that in the transverse incision group(P<0.05).The postoperative anal exhaust time,hospitalization time and incision healing time in the vertical incision group were shorter than those in the transverse c incision group(P<0.05).The incidence of postpartum complications in the vertical incision group was lower than that in the transverse incision group(P<0.05).The POSAS score(patient scale,observer scale)of the vertical incision group was lower than that of the transverse incision group(P<0.05).Conclusion Abdominal vertical incision in cesarean section can shorten the operation time,accelerate the postoperative recovery of parturients,reduce the risk of postpartum complications,and reduce the degree of incision scar.