Oh this is no bueno :(

MrsDT

https://www.ncbi.nlm.nih.gov/pubmed/17118738 (re: single vs. double layer closure)

holly321

Wow, that is surprising.  It made me go search for my records to verify I had the double layer.

jenbabe3

I will definitely have to ask my doctor at my next appt whether mine is single or double.

8.6% isn't a number I'd be too comfortable with.

nosoup4u

I'm currently on my phone, and can't cut and paste the link...can someone make it clicky? Thx!

ILoveRunning

I have heard mixd hints regarding single vs. double layer suturing and have heard that the material used can play a role. I don't have any links since I'm on my phone.

honkytonk_kid

nosoup4u:

I'm currently on my phone, and can't cut and paste the link...can someone make it clicky? Thx!

https://www.ncbi.nlm.nih.gov/pubmed/17118738 

MAprincess

Interesting information and it does make sense.  That being said, keep in mind that they only had 35 women in this study with the single, so each one makes up a much higher percentage of the whole, you know?  The 8% is misleading in that way.  If it were out of 1000 women, then it would be more compelling information.  More research is definitely needed in this arena, though.  This suggests they should always be doing double layer, just in case.  The percentage of ruptures in the double layer group was higher than I have ever seen in past studies also.

je2161

MAprincess:

Interesting information and it does make sense.  That being said, keep in mind that they only had 35 women in this study with the single, so each one makes up a much higher percentage of the whole, you know?  The 8% is misleading in that way.  If it were out of 1000 women, then it would be more compelling information.  More research is definitely needed in this arena, though.  This suggests they should always be doing double layer, just in case.  The percentage of ruptures in the double layer group was higher than I have ever seen in past studies also.

My OB told me that she routinely does a double layer of sutures if there is any possibility of a future pregnancy. She will do a single layer ONLY when there had been a previous discussion with the patient regarding no more children in the future.

I thought that was standard practice across the board.

MrsDT

je2161:

MAprincess:

Interesting information and it does make sense.  That being said, keep in mind that they only had 35 women in this study with the single, so each one makes up a much higher percentage of the whole, you know?  The 8% is misleading in that way.  If it were out of 1000 women, then it would be more compelling information.  More research is definitely needed in this arena, though.  This suggests they should always be doing double layer, just in case.  The percentage of ruptures in the double layer group was higher than I have ever seen in past studies also.

My OB told me that she routinely does a double layer of sutures if there is any possibility of a future pregnancy. She will do a single layer ONLY when there had been a previous discussion with the patient regarding no more children in the future.

I thought that was standard practice across the board.

 

I don't think so...from what I found after researching it some more, it looks like many doctors use single layer (or have been since a certain year, can't remember when) because it is actually better for the patient in a lot of ways...I think quicker healing time, less chance of infection, etc etc. Damn I meant to post the other articles I found and I got distracted and never went back and did it

Lisa and Mickey

As my OB was suturing, she mentioned that she was doing a double layer because she knew I hoped to VBAC. I assumed it was common practice as well. Interesting.

cchill01

MAprincess:

Interesting information and it does make sense.  That being said, keep in mind that they only had 35 women in this study with the single, so each one makes up a much higher percentage of the whole, you know?  The 8% is misleading in that way.  If it were out of 1000 women, then it would be more compelling information.  More research is definitely needed in this arena, though. 

Agreed. 

lkf041

MAprincess:

Interesting information and it does make sense.  That being said, keep in mind that they only had 35 women in this study with the single, so each one makes up a much higher percentage of the whole, you know?  The 8% is misleading in that way.  If it were out of 1000 women, then it would be more compelling information.  More research is definitely needed in this arena, though.  This suggests they should always be doing double layer, just in case.  The percentage of ruptures in the double layer group was higher than I have ever seen in past studies also.

I couldn't agree more!