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Is the Cesarean Delivery Rate Higher After Abdominoplasty? Obstetrical Outcomes in the Setting of Abdominoplasty [7C]

Pimentel, Veronica Maria, MD, MS; Powell, Kimone, MD; Karkowsky, Chavi Eve, MD

Obstetrics & Gynecology: May 2016 - Volume 127 - Issue - p 28S
doi: 10.1097/01.AOG.0000483356.94088.2b
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INTRODUCTION: Abdominoplasty is frequently performed in women of child-bearing age. Pregnancy after abdominoplasty is discouraged due to aesthetic concerns, but there is no literature on the characteristics or risks of women who conceive after this surgery. This study aims to assess properties and outcomes of pregnant women who have previously undergone abdominoplasty.

METHODS: Women with prior abdominoplasty presenting for prenatal care at an urban tertiary care center were identified through the electronic medical record. Baseline characteristics and maternal and fetal outcomes were compared to rates from our hospital and from the medical literature. The primary outcome was CD rate.

RESULTS: Of the 99 women identified to have undergone abdominoplasty, mean age at delivery was 33.7 years, significantly older than in the literature (P<.001). Most identified as Hispanic (79%), more commonly than in our hospital population rate of 46% (P<.001). The mean parity was greater than national average (2.7 vs 1.9, P<.001). The rate of CD was 49.5%, higher than both the hospital (31.7%; P=.005) and national rates (32.7%; P<.001). For those with a prior vaginal delivery, the primary CD rate was higher than rates in the literature (22.6% vs 11.5%, P=.009). The rate of preterm delivery, estimated blood loss and fetal weight were similar to those reported in the general population.

CONCLUSION: Pregnant patients with prior abdominoplasty appear to be older, more parous, and more likely to identify as Hispanic. They may have a higher rate of CD, even in the setting of a prior vaginal delivery.

Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

Financial Disclosure: The authors did not report any potential conflicts of interest.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.