Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section

Abstract Objective and significance The pursuit of aesthetic outcomes is a natural tendency for individuals, particularly for women undergoing cesarean sections, who seek to minimize abdominal scarring. The aim of this study is to compare the risks and outcomes of mini-incision cesarean sections wit...

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Main Authors: ChunLan Yuan, ShiMei He, WenQian Jian, MeiRong He, HuiFang Huang, JianChun Huang, MeiPing He, KaiSun Zhao
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
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Online Access:https://doi.org/10.1186/s12884-025-07249-0
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author ChunLan Yuan
ShiMei He
WenQian Jian
MeiRong He
HuiFang Huang
JianChun Huang
MeiPing He
KaiSun Zhao
author_facet ChunLan Yuan
ShiMei He
WenQian Jian
MeiRong He
HuiFang Huang
JianChun Huang
MeiPing He
KaiSun Zhao
author_sort ChunLan Yuan
collection DOAJ
description Abstract Objective and significance The pursuit of aesthetic outcomes is a natural tendency for individuals, particularly for women undergoing cesarean sections, who seek to minimize abdominal scarring. The aim of this study is to compare the risks and outcomes of mini-incision cesarean sections with those of conventional incision cesarean sections. Methods A total of 99 pregnant women with full-term singleton pregnancies, who delivered at the Second Nanning People's Hospital from January 2024 to September 2024, were enrolled in this study. The participants were stratified into two groups: the mini-incision group (n = 33) and the conventional incision group (n = 66). The study evaluated several variables, including the time from incision to fetal delivery (I-D), surgery duration, intraoperative blood loss, duration of postoperative antibiotic administration, post-operative hospitalization duration, incidence of wound infection, neonatal adverse outcomes, and blood routine parameters. Results The surgery duration in the mini-incision group was significantly shorter than that in the conventional group. Furthermore, the rate of forceps-assisted delivery was significantly higher in the mini-incision group (P < 0.05 for both comparisons). However, no statistically significant differences were observed between the two groups in terms of intraoperative blood loss or maternal and neonatal outcomes, including neonatal complications, incidence of wound infection, and other maternal outcomes. Conclusion Our findings indicate that when a pregnant woman requests a mini-incision cesarean section, the procedure can be safely performed by an experienced obstetrician proficient in forceps-assisted delivery techniques, provided it is not categorized as a Category I cesarean section.
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spelling doaj-art-b619d48245f14016adbb84d57305a6432025-02-09T12:59:09ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-012511910.1186/s12884-025-07249-0Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean sectionChunLan Yuan0ShiMei He1WenQian Jian2MeiRong He3HuiFang Huang4JianChun Huang5MeiPing He6KaiSun Zhao7Department of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningDepartment of Obstetrics, The Third Affiliated Hospital of Guangxi Medical University, the Second Nanning People’s Hospital, NanningAbstract Objective and significance The pursuit of aesthetic outcomes is a natural tendency for individuals, particularly for women undergoing cesarean sections, who seek to minimize abdominal scarring. The aim of this study is to compare the risks and outcomes of mini-incision cesarean sections with those of conventional incision cesarean sections. Methods A total of 99 pregnant women with full-term singleton pregnancies, who delivered at the Second Nanning People's Hospital from January 2024 to September 2024, were enrolled in this study. The participants were stratified into two groups: the mini-incision group (n = 33) and the conventional incision group (n = 66). The study evaluated several variables, including the time from incision to fetal delivery (I-D), surgery duration, intraoperative blood loss, duration of postoperative antibiotic administration, post-operative hospitalization duration, incidence of wound infection, neonatal adverse outcomes, and blood routine parameters. Results The surgery duration in the mini-incision group was significantly shorter than that in the conventional group. Furthermore, the rate of forceps-assisted delivery was significantly higher in the mini-incision group (P < 0.05 for both comparisons). However, no statistically significant differences were observed between the two groups in terms of intraoperative blood loss or maternal and neonatal outcomes, including neonatal complications, incidence of wound infection, and other maternal outcomes. Conclusion Our findings indicate that when a pregnant woman requests a mini-incision cesarean section, the procedure can be safely performed by an experienced obstetrician proficient in forceps-assisted delivery techniques, provided it is not categorized as a Category I cesarean section.https://doi.org/10.1186/s12884-025-07249-0Cesarean sectionMini-incisionForceps assistanceSurgery duration
spellingShingle ChunLan Yuan
ShiMei He
WenQian Jian
MeiRong He
HuiFang Huang
JianChun Huang
MeiPing He
KaiSun Zhao
Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
BMC Pregnancy and Childbirth
Cesarean section
Mini-incision
Forceps assistance
Surgery duration
title Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
title_full Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
title_fullStr Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
title_full_unstemmed Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
title_short Striking a balance between aesthetics and safety: a comparative study on the maternal and neonatal outcomes of mini-incision cesarean section
title_sort striking a balance between aesthetics and safety a comparative study on the maternal and neonatal outcomes of mini incision cesarean section
topic Cesarean section
Mini-incision
Forceps assistance
Surgery duration
url https://doi.org/10.1186/s12884-025-07249-0
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