[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100657968":3},{"organization":4,"outcomesModule":7,"designInfo":14,"detailedDescription":13,"studyPopulation":17,"armGroups":18,"interventions":13,"overallOfficials":13,"centralContacts":13,"locations":13,"responsibleParty":25,"collaborators":13,"id":29,"slug":30,"hasResults":31,"nctId":32,"briefTitle":33,"officialTitle":34,"acronym":13,"eligibilityCriteria":35,"healthyVolunteers":31,"sex":36,"minAge":37,"maxAge":38,"enrollmentInfo":39,"targetDuration":13,"studyType":42,"phases":13,"briefSummary":43,"conditions":44,"keywords":50,"overallStatus":59,"whyStopped":13,"lastUpdateSubmitDate":60,"lastUpdatePostDateStruct":61,"startDateStruct":64,"completionDateStruct":66,"leadSponsor":68,"locationsCount":13},{"fullName":5,"class":6},"Assiut University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":13},[9],{"measure":10,"description":11,"timeFrame":12},"Number of Participants With Surgical Site Infection (SSI)","Number of participants diagnosed with a surgical site infection (SSI) at the Pfannenstiel incision site. Assessment is performed using a standardized clinical wound-assessment form evaluating the presence of purulent discharge, localized erythema, heat, edema, or wound separation.","Up to 48 hours after dressing removal",null,{"allocation":13,"interventionModel":13,"interventionModelDescription":13,"primaryPurpose":13,"observationalModel":15,"timePerspective":16,"maskingInfo":13},"COHORT","PROSPECTIVE","Pregnant women aged 18 to 35 years with a body mass index (BMI) ≥ 30 kg\u002Fm² undergoing cesarean delivery via a Pfannenstiel skin incision at the Department of Obstetrics and Gynecology, Assiut University Hospitals, and Malawi Specialized Hospital.",[19,22],{"label":20,"type":13,"description":21,"interventionNames":13},"48-Hour Dressing Removal","Women with BMI ≥ 30 kg\u002Fm² undergoing cesarean delivery with a Pfannenstiel skin incision whose standardized sterile wound dressing is removed at approximately 48 hours after surgery, followed by clinical wound inspection under aseptic conditions and routine postoperative care.",{"label":23,"type":13,"description":24,"interventionNames":13},"5-Day Dressing Removal","Women with BMI ≥ 30 kg\u002Fm² undergoing cesarean delivery with a Pfannenstiel skin incision whose standardized sterile wound dressing is removed at approximately 5 days after surgery, followed by clinical wound inspection under aseptic conditions and routine postoperative care.",{"type":26,"investigatorFullName":27,"investigatorTitle":28,"investigatorAffiliation":5,"oldNameTitle":13,"oldOrganization":13},"PRINCIPAL_INVESTIGATOR","Mohamed Tawfik Abdelmalek Gomaa","Resident","100657968","timing-of-cesarean-wound-dressing-removal-on-wound-healing-in-women-with-bmi--30-kgm-100657968",false,"NCT07846930","Timing of Cesarean Wound Dressing Removal on Wound Healing in Women With BMI ≥ 30 kg\u002Fm²","Effect of Cesarean Wound Dressing Removal Timing on Wound Healing in Women With BMI ≥ 30 kg\u002Fm²","Inclusion Criteria:\n\n* Women aged 18 to 35 years\n* Body mass index (BMI) ≥ 30 kg\u002Fm² measured before cesarean delivery or at admission\n* Undergoing cesarean delivery with a Pfannenstiel skin incision and primary skin closure\n\nExclusion Criteria:\n\n* Pre-existing infection or inflammation at the planned incision site\n* Active systemic infection or fever prior to surgery\n* Clinical or subclinical chorioamnionitis\n* Major intraoperative contamination of the surgical field\n* Significant preoperative bleeding or anemia\n* Known bleeding or coagulation disorders that may significantly affect wound healing\n* Major postoperative complications requiring additional abdominal surgery\n* Inability or unwillingness to attend scheduled follow-up visits","FEMALE","18 Years","35 Years",{"count":40,"type":41},726,"ESTIMATED","OBSERVATIONAL","Cesarean delivery is one of the most common surgical procedures in obstetric care. Women with obesity (body mass index \\[BMI\\] of 30 kg\u002Fm² or higher) are at increased risk for postoperative wound complications, including surgical site infections, fluid collections (seroma\u002Fhematoma), and wound separation. Postoperative wound dressings protect the surgical incision, but the optimal timing for dressing removal remains uncertain, particularly for high-risk patients.\n\nThe purpose of this prospective cohort study is to compare wound healing and the occurrence of surgical site infections between two standard dressing removal schedules in women with a BMI ≥ 30 kg\u002Fm² undergoing cesarean delivery.\n\nParticipants are observed in one of two groups according to standard hospital practice:\n\n* Group 1: The sterile wound dressing is removed at approximately 48 hours after surgery.\n* Group 2: The sterile wound dressing is removed at approximately 5 days after surgery.\n\nFollowing dressing removal, incisions are assessed for signs of infection, drainage, swelling, and healing progress. The study aims to provide evidence on whether earlier dressing removal at 48 hours is safe and effective compared to delayed removal at 5 days in women with obesity.",[45,46,47,48,49],"Cesarean Section","Surgical Wound Infection","Wound Healing","Obesity","Surgical Wound Dehiscence",[51,52,53,54,55,56,57,58],"Cesarean delivery","Wound dressing","Dressing removal timing","Surgical site infection","Pfannenstiel incision","Postoperative care","Maternal obesity","Wound complications","NOT_YET_RECRUITING","2026-09-23",{"date":62,"type":63},"2026-09-29","ACTUAL",{"date":65,"type":41},"2026-10",{"date":67,"type":41},"2027-11",{"name":5,"class":6}]