babble » blogs » Strollerderby
Strollerderby
They Say: Staples Pose Risk Post C-Section
A new study has led researchers to recommend: stitches, not staples, after a ceasarean section.
Women in the study were less likely to suffer post-surgery complications if doctors used sutures to close up the uterus, muscle tissue and skin.
The study, conducted by the Lehigh Valley Health Network in Allentown, Pa., included 400 women, who researchers followed up with two weeks and again four weeks after they gave birth. They found wound separation rates were far higher for women who had staples: 16.8 percent, compared to 4.6 of those with stitches.
They also found composition wound complication rates for women with staples were at 21.8 percent with staples and 9.1 with stitches. Far more women who had staples — 36 percent — also required follow up visits with their doctors. This compares to only 10.6 percent of those who had stitches.
Doctors use staples because they’re faster, but the study also shows only by eight minutes. It took an average of 57 minutes for stitches, compared to 49 for staples.
Did you get stitches or staples after your c-section? Did you have any complications either way? Can you ask your OB to use stitches rather than staples or is that against protocol?
More Posts
Duggars Might Go For More. But Why?
How Bread Could Cause Miscarriages
Where Half of All Pregnant Women Get C-Sections
Doc Who Raised Vaccine Alarm Found Unethical
Supermodel Gives Birth at Home
Reservist Pumps Milk for Haiti’s Babies
Haiti Disaster Ignites Breast vs. Formula Debate
Woman Drives 3 Hours in Labor So Husband Can Attend Birth
Vintage Ad Reminds Us Girls Used to Just Be Kids
U.K. Couple Endures Decades of IVF
Photo: about.com
Go Back To Strollerderby
18 Comments
[...] They Say: Stitches Not Staples Post C-Section [...]
They Say: Older Moms (and Certain Couples) Pose Bigger Autism Risk | Strollerderby commented on Feb 09 10 at 1:00 pm[...] earlier study found that using staples following a c-section increases the risk of post-surgery complications. Will these two studies impact future recommendations for c-section [...]
C-Sections: Are Staples or Stitches Better? | Strollerderby commented on May 14 10 at 10:01 amSuzy commented on Feb 05 10 at 3:03 pmI got staples and had to visit the doctor less than a week after I left the hospital. She prescribed antibiotics for possible infection – not a big deal, but kind of a pain when you are home with a newborn. I actually thought about requesting stitches during the delivery (my friend did), but chickened out. I should have asked for them!
jenny tries too hard commented on Feb 05 10 at 3:13 pmErgh…I had a young doctor for my first c-section who spent a good long while talking excitedly about the dissolving stitches he used. It was awesome. Easy recovery, no infection, and a scar that looked like a faint pencil line. I wish I had even known that staples were the norm before I went in for my second c-section; I might’ve asked for stitches. Staples were much more painful, and with my third c-section (staples again) I went to the ER two days after I left the hospital with an infection. Not fun.
PlumbLucky commented on Feb 05 10 at 3:14 pmIs that 57/49 overall time of section, I’m assuming? (Because that seems like a long time to stitch you up, that’s all. I did not have a section so I don’t know!)
Lisa commented on Feb 05 10 at 5:25 pmAfter my second c-section (with staples!), my incision opened up after 5 days. My open wound was 17 cm wide and DEEP; it opened all the way to the fascia. I had an open wound for 10 weeks which seeped all kinds of nasty fluid. I had infection and was faced with the horrid prospect of having it cleaned and packed twice a day by my poor husband. It was an awful way to spend a baby’s first weeks.
kate commented on Feb 05 10 at 9:25 pmi had stitches with my first c-section and developed a nasty post-surgical infection — had to have the incision reopened, drained, and packed and left open to shut itself — nasty! plus took many return trips to the doctor to deal with. not fun. with my second c-section i had staples, which my doctor told me were associated with fewer infections and complications. it was a much easier healing process and my scar is very minimal. so honestly, i’m sort of surprised to read this as it’s counter to my own personal experience and what i was told by my doctor (not that one person’s experience disproves a large scientific study). for what it’s worth, i would ask for staples again if i were to have a third c-section.
Deana commented on Feb 06 10 at 2:28 pmI have a nickel allergy and forgot to mention it ahead of time, but when my c-section started I mentioned it. They didn’t know whether or not the staples contained nickel, so I was stitched instead of stapled. EVERY doctor who examined me afterward complimented the incision. I ended up with an internal infection of the uterus, but the incision was never a problem.
Jennifer commented on Feb 06 10 at 4:13 pmI had staples and, like Lisa, my incision was reopened down to the fascia, 13 cm across and 4.5 cm deep, after it reopened on its own and a large seroma was found. No infection, luckily, but it’s a suck-ass recovery (my top three most painful experiences are all from that recovery). My incision healed over finally at 12 weeks postpartum. A note to anyone here who has a seroma: Ask for a VAC. Demand it. The twice-daily packing Lisa and Kate talk about is something I didn’t have to do because I had a machine called a VAC attached to my incision. I won’t lie, there was nothing about the VAC I enjoyed, but it speeds healing and protects against infection, and the dressing changes are done by nurses.
Care commented on Feb 06 10 at 8:52 pmI had staples and suffered an allergic reaction to them so bad. The antibiotics didn’t do anything. Finally, a week after having them removed, my c-section bursts open and an oh so lovely concoction starts pouring out. I had to go to a wound care clinic twice a week and have the reopened scar washed and treated. I was almost wholly healed by the time my maternity leave was over. Sucked big time and my scar never healed right aesthetically.
lauren commented on Feb 07 10 at 1:36 pmI actually was one of the 400 women who participated in this study. I got stitches, and had no problems whatsoever.
Elendy commented on Feb 07 10 at 7:42 pmThis is fascinating and I hope word gets around! As far as I know, staples vs. sutures is a personal choice on the part of the OB and not a matter of hospital protocol. (We keep both in our OR and I have only seen a handful of doctors use the staples).So definitely something to talk over with your provider
PlumbLucky commented on Feb 08 10 at 9:08 amHoly crap I am glad that Deanna and Care mentioned “allergies”…I react poorly to most metals, can’t say that I’ve ever had staples, I don’t know what metal from which they’re made, therefore I think should I ever be in need of a C-section, I will make CERTAIN that the medical staff is aware of this. My sibling who had a C-section? She had staples. She also had an unsutured vessel inside that was leaking, eventually the incision burst and leaked out this ooey, gooey, grape-jelly colored and consistency brackish crap (half-dried blood that her body couldn’t reabsorb). Once they “bled” it (remove a full 8 oz of this crap from her body) she immediately felt better. Scared the living daylights out of her hubby though.
Shannon commented on Feb 09 10 at 3:23 amI had staples and have the most beautiful thin as a pencil line scar, everyone in my doctors office complimented me on not only it’s dainty nature, but on how quickly it healed. I know it’s not going to be the same for everyone, but I had no problems with my staples whatsoever.
lani commented on Mar 06 10 at 3:11 pmCommentsMy friend actually had 1/2 stapled 1/2 stitched, and her scar looks much better on the stitched side. When i requested stiches for mine, the ob said she never does stitches and won’t since it’s too slow…I explained to her I was concerned since I have terrible scars and poor wound healing from other surgeries and injuries, as well as nickel sensitivity, but she said she doesn’t do them, period. I don’t know if I could have insisted on another doc?
Liz commented on Mar 23 10 at 5:17 pmI had staples after my c-section and like Shannon ended up with a thin scar. The baby was born on a Tuesday the staples came out and I went home on Friday (yes the same week!). I had stitches after a previous surgery and my scar was at least twice as thick as that from the c-section. No problem with infection with the staples, great and very fast wound healing.
holly commented on Jul 05 10 at 3:16 pmI had staples with both my daughters, but the second time around did not go so well.After the section while i was still in the hospital my tissue started to pop out in acouple of spots but the doc. pushed it back in and put some tape on it,said it would be fine.A week later i went to have my stapples removed and an hour later i was back at vthe hospital because the incision opened back up and all my tissue or fat whatever you want to call it was hanging out so back through surgery again for the second time in a week not to mention being away from my newborn for 4 days:(
Jennifer commented on Aug 04 10 at 12:42 amI had a c-section, my first, 4 weeks ago, one week after, my incision opened and revealed a seroma, for a week I drove back and forth to my dr office (an hour away) then they finally sent home health to my house, I now have to have home health come in daily to pack it, plus I am changing the outside bandages 2 other times a day. We measured it today and it has almost doubled in size. I meet with the surgeon that did my c section in the morning to see if I would be a good candidate for a wound VAC. Hopefully I am..
Add your take:
Note: Babble is a supportive, diverse community. We encourage a range of opinions,
but any unduly hostile comments will be removed.
Comments are delayed up to 15 minutes






Lori Garcia
Joslyn Gray
Amber Doty
Julianna Miner
Monica Bielanko
Sierra Black
Meredith Carroll
Carolyn Castiglia
Sunny Chanel
Madeline Holler
Rebecca Odes
Danielle Smith
Danielle Sullivan
Katherine Stone
The Walt Disney Company supports Babble as a platform dedicated to honest, engaged, informed, intelligent and open conversation about parenting. However, the opinions expressed on this site are those of individual parents/writers and do not reflect the views of Disney. In addition, content provided on this site is for entertainment or informational purposes only and should not be construed as medical advice, diagnosis, treatment, or safety advice.

18