Comparison of Joel-Cohen Incision and Pfannenstiel Incision for Caesarean Section

Abstract Introduction: Caesarean section is a widely performed surgical procedure for women globally, aimed at reducing maternal and fetal risks. This is particularly important as emergency C-sections are associated with multiple complications compared to vaginal deliveries and choice of abdominal incision has been correlated with incidence of complications. Aim: The objective of this study is to compare the outcomes of the Joel-Cohen incision and the Pfannenstiel incision in caesarean section procedures. Methodology: This hospital-based, prospective, randomized comparative study was conducted in the Department of Obstetrics and Gynecology at PBM Hospital, Bikaner, over the course of one year. The study population included pregnant women admitted to the labor room with indications for caesarean section. Results: The study found that the Joel-Cohen technique was associated with significantly reduced operative times, faster fetal delivery, lower postoperative pain, decreased analgesic requirements, and shorter hospital stays.