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Related Experiment Video

Updated: Aug 3, 2025

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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Experiences implementing hydrocolloid dressings after caesarean section.

Simon M Scheck1,2, Sikhar Sircar3

  • 1Wellington Regional Hospital, Department of Obstetrics and Gynaecology, Capital and Coast District Health Board, Wellington, New Zealand.

Journal of Wound Care
|April 8, 2023
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Summary

Switching to hydrocolloid dressings for caesarean sections showed a potential reduction in surgical site infections (SSI) and costs. However, this change also led to decreased satisfaction among midwifery and nursing staff due to dressing removal difficulties.

Keywords:
caesarean sectiondressingshydrocolloid dressingssurgical wound infectionwoundwound carewound healing

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Disease Control
  • Wound Care Management

Background:

  • Surgical site infections (SSI) after caesarean sections are a concern.
  • Evidence on optimal post-operative dressings for caesarean sections is limited.
  • Hospitals are exploring strategies to reduce SSI rates.

Purpose of the Study:

  • To evaluate the impact of switching from basic contact to hydrocolloid dressings on SSI rates after caesarean sections.
  • To assess the experiences of midwifery and nursing staff with the new dressings.
  • To analyze the cost-effectiveness of hydrocolloid dressings compared to basic contact dressings.

Main Methods:

  • A retrospective cohort study compared hydrocolloid dressings with basic contact dressings over a three-month period.
  • Data collected included SSI rates (based on wound swabs), staff feedback via survey, and dressing costs.
  • The study was conducted in a secondary hospital in regional New Zealand.

Main Results:

  • The hydrocolloid group (n=94) had a 4.3% rate of significant wound swab growth, compared to 5.1% in the basic contact group (n=117).
  • Staff satisfaction was lower with hydrocolloid dressings (45% approval) compared to basic contact dressings (90% approval), mainly due to removal difficulty.
  • The cost per caesarean section was lower for hydrocolloid dressings ($5.11 NZD) than for basic contact dressings ($5.72 NZD), considering dressing changes.

Conclusions:

  • Hydrocolloid dressings show promise in reducing SSI rates and costs following caesarean sections.
  • The practical challenges of hydrocolloid dressing removal negatively impact staff satisfaction.
  • Further consideration is needed to balance clinical benefits with usability for healthcare professionals.