Antiseptic Vaginal Preparation before Cesarean Delivery to Reduce Post Operative Infection: A Randomised Controlled Trial
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Postoperative infection is one of the important complications of cesarean section. Post cesarean infection is usually polymicrobial and caused by ascending infection from vaginal flora. Vaginal antiseptic preparation with povidone iodine is likely to reduce the bacterial load which may reduce the incidence of post operative infection. Aim of our study is to determine the role of preoperative vaginal preparation with povidone iodine to reduce post cesarean infectious morbidities. This is a randomized case control study based on mothers undergoing cesarean delivery from January 2013 to July 2014. Women were categorized in to two groups – who received vaginal antiseptic preparation with povidone iodine before cesarean section and those who did not receive. Age, gestational age, BMI, Hb%, birth weight, cervical dilatation, membrane status was compared between the two groups. Outcome was measured in term of endometritis, abdominal wound infection and readmission for late infection. In conclusion vaginal antiseptic preparation is not significantly effective in reducing post cesarean infectious morbidities in present day obstetrics.
Authors and Affiliations
Dr Jayanta Kumar Nandi
Keywords
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