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. 2025 May 28:2025:4980949.
doi: 10.1155/nrp/4980949. eCollection 2025.

The Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section

Hind Ghannam Alruwaili  1 , Wedad M Almutairi  2 , Areej A Abunar  3
Affiliations

The Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section

Hind Ghannam Alruwaili et al. Nurs Res Pract. .

Abstract

Background: The incidence of surgical site infection (SSI) following cesarean section (CS) is between 3% and 15% worldwide. There is a paucity of evidence regarding the incidence and risk factors of SSI following CS in Saudi Arabia. Globally, infection is the third greatest cause of maternal deaths. There are many risk factors associated with SSI post-CS such as age, previous history of CS, medical diseases, and a high number of vaginal examinations. Methods: A cross-sectional prospective descriptive study among women who underwent CS. Setting: Gynecology and obstetrics clinics in a maternity and children's hospital. Sample: A convenience sample of 124 mothers within 30 days after CS was used; data were collected from July 2021 to August 2021. This study found that the incidence of SSI after CS was 4% of the mothers who underwent CS operations in the Maternity and Children Hospital in Sakaka. Besides, the results showed that there is a significant association between the type of anesthesia (spinal) and SSI following CS (Chi = 4.288, p ≤ 0.05). To conclude that the incidence of SSI following CS was 4%, comparable to the international rate, and spinal anesthesia was the confirmed risk factor in our sample. Further studies should be carried out with larger samples and in more than one hospital in Sakaka, Saudi Arabia.

Keywords: Sakaka; cesarean delivery; infection; risk factors; surgical site infection.

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Conflict of interest statement

The authors declare no conflicts of interest.

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References

    1. Chu K., Maine R., Trelles M. Cesarean Section Surgical Site Infections in Sub-Saharan Africa: A Multi-Country Study from Medecins Sans Frontieres. World Journal of Surgery . 2015;39(2):350–355. doi: 10.1007/s00268-014-2840-4. - DOI - PMC - PubMed
    1. World Health Organization. Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF . UNFPA, World Bank Group and the United Nations Population Division; 2019.
    1. Al-Kadri H. M., Al-Anazi S. A., Tamim H. M. Increased Cesarean Section Rate in Central Saudi Arabia: A Change in Practice or Different Maternal Characteristics. International Journal of Women’s Health . 2015;7:685–692. doi: 10.2147/ijwh.s85215. - DOI - PMC - PubMed
    1. Nagy S., Papp Z. Global Approach of the Cesarean Section Rates. Journal of Perinatal Medicine . 2021;49(1):1–4. doi: 10.1515/jpm-2020-0463. - DOI - PubMed
    1. Ahmed A. E., Mohammad R. S. Cesarean Sections. Associated Factors and Frequency at King Abdulaziz Medical City in the Central Region of the Kingdom of Saudi Arabia. Saudi Medical Journal . 2018;39(11):1154–1157. doi: 10.15537/smj.2018.11.22499. - DOI - PMC - PubMed

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