Table 6.
Proposed New Risk Stratification Schema: Infectious Risk Following Cesarean Delivery
| Risk Category | Factors |
| Low | Elective cesarean delivery (in the absence of labor or rupture of membranes) |
| Absence of diabetes | |
| BMI < 25 kg/m2 | |
| Low-risk surgical case (NHSN category 0) | |
| Moderate | Nonelective cesarean (after labor and/or rupture of membranes) |
| Well-controlled pregestational or gestational diabetes | |
| BMI 25–35 kg/m2 | |
| Moderate risk surgical case (NHSN category 1) | |
| Manual extraction of placenta or closure of skin using staples | |
| High | Emergency cesarean (often performed without adequate skin preparation or antibiotic prophylaxis) |
| Chorioamnionitis | |
| Poorly controlled pregestational or gestational diabetes | |
| BMI > 35 kg/m2 | |
| High-risk surgical case (NHSN category 2 or 3) | |
| Manual extraction of placenta and closure of skin using staples |
BMI, body mass index; NHSN, National Healthcare Safety Network.