Evidence map›Paper›PMID 40910951›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Reducing post-cesarean sepsis: Current best practice in prevention and treatment.

Amanda Lazzaro, Gauri Karandikar, Maria L Martins, Friday Saidi, David M Aronoff, Eliana Amaral, Isabelle Boucoiran, Mandakini Megh, Bo Jacobsson, Edgar Ivan Ortiz Lizcano and 4 more

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Reducing post-cesarean sepsis: Current best practice in prevention and treatment.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Amanda LazzaroDepartment of Maternal Fetal Medicine, Royal North Shore Hospital, St. Leonards, New South Wales, Australia.
Gauri KarandikarDepartment of Obstetrics & Gynecology Department, Karandikar Hospital, Nashik, India.
Maria L MartinsCentre of Integrated Responsibility of Fetal Medicine and Surgery, Local Unit of Health S José, Maternity Dr Alfredo da Costa, Lisbon, Portugal.
Friday SaidiInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
David M AronoffInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Eliana AmaralInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Isabelle BoucoiranInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Mandakini MeghInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Bo JacobssonInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Edgar Ivan Ortiz LizcanoInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Deborah MoneyInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Dharmintra PasupathyInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Edward BugaInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0009-0008-3152-9587
FIGO Committee on Infections During Pregnancy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cesarean section is the most common surgical procedure performed worldwide. It is associated with good perinatal and maternal outcomes when indicated. The rising global cesarean birth rate has coincided with an increase in post-cesarean sepsis - specifically site infections, which have an incidence of 7% worldwide. Post-cesarean sepsis remains a serious complication that prolongs hospital stays, resulting in additional surgery and worsening maternal morbidity and mortality, and increasing healthcare costs with socioeconomic consequences. There is no global practice guide for post-cesarean sepsis, despite most maternal deaths due to sepsis occurring postpartum. Here we introduce a FIGO Committee on Infections During Pregnancy guide on prevention and treatment of post-cesarean sepsis. We encourage strategies to keep cesarean birth rates at evidence-based levels by aiming to standardize the management of labor and to increase the percentage of vaginal births after a previous cesarean. Identification of risk factors before and during the surgery is the primary step towards prevention. These measures, combined with evidence-based strategies to promote infection prevention practices, including routine prophylactic antibiotics, skin and vaginal preparation before cesarean birth, and glove change prior to skin closure, contribute towards reducing maternal morbidity and mortality.

Indexed as

Cesarean SectionSepsisSurgical Wound InfectionAntibiotic ProphylaxisFemaleHumansPractice Guidelines as TopicPregnancyRisk Factorscurrent best practicepost‐cesarean sepsisprevention and treatment

Identifiers

PMID40910951
PMCPMC12553105

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.