Survey on closure of parietal peritoneum during caesarean sections

The NICE guideline on Caesarean Birth [NG192] published 31 March 2021, last updated 21 June 2023, recommends non closure of visceral and parietal peritoneum in caesarean birth to reduce operating time and the need for postoperative analgesia, and improve maternal satisfaction. 

Systematic review of closure versus non closure of the parietal peritoneum during caesarean section showed methodological quality of the trials was variable with some of the outcomes demonstrating significant heterogeneity. There is scarcity of data on adhesion formation, complexity of pelvic/abdominal adhesions, abdominal wall distortion and difficulty during future pelvic/abdominal surgeries. Further research on the long-term benefits or complications of non-closure of the peritoneum at caesarean section (particularly adhesion formation and infertility) is needed.

Yi Ling Chan, Consultant in Obstetrics and Urogynaecology, Calderdale and Hudderfield NHS Foundation Trust and Bethan Coleman and Eleanor Patrick,  Medical Students at the University of Leeds  are conducting a survey on closure versus non closure of the parietal peritoneum during Caesarean section (CS) and would like to invite you to participate. The survey aims to gather information and opinions from Healthcare Professionals who work in the field of Obstetrics and Gynaecology and have experience in performing or assisting in Caesarean sections.

Please access the survey via this link:

https://bit.ly/3D4R19D

They appreciate your time and willingness to participate in this survey. Your input will be valuable in helping them understand the current practices and attitudes towards the closure of the parietal peritoneum during CS among Healthcare Professionals.

For further details, please contact:

Yiling.chan@cht.nhs.uk

um18bc@leeds.ac.uk

um19e2p@leeds.ac.uk