Compared with staple closure, suture closure is associated with a lower rate of wound complications in women undergoing their third or higher-order cesarean delivery (CD), a recent study found. The retrospective cohort study included all tertiary or higher-order CDs performed by 1 group practice in a large academic medical center from 2005 to 2017. All patients received preoperative antibiotics and closure of subcutaneous tissue 2 cm deep or greater. The primary outcome was a wound complication. Researchers found:

• 551 patients were included with tertiary or higher-order CD, 192 (34.8%) of whom had staple closure and 359 (65.2%) had suture closure.
• Suture closure was associated with a significantly lower rate of wound complication (4.7% vs 11.5%).
• Suture closer remained independently associated with a lower wound complication on regression analysis.