Intrauterine Cleaning After Delivery of Placenta during Cesarean Section: Randomized Comparative Trial
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background: Post-cesarean endometritis is still regarded as serious morbidities, in spite of the strategies used to prevent these complications. To reduce the morbidity, different preventive measures have been taken including the administration of prophylactic antibiotics, use of prophylactic vaginal preparation, and the uterine cavity cleaning. The benefits of such measure remain a topic of debate. Objectives: To our knowledge, this is the first Egyptian trial to evaluate the value of intrauterine cleaning after placental delivery in reducing the rate of post-cesarean endometritis. Subjects and Methods: We conducted this RCT at the Obstetrics and Gynecology department of Ain Shams university hospitals on 400 pregnant women aged 20-35 years and would undergo cesarean section for their deliveries. These women were randomly and evenly assigned into two groups; uterine cleaning and non-cleaning. Results: The incidence of endometritis was higher among the cleaning group with a statistically significance difference (p = 0.02). Participants who had uterine cleaning had 2.25 increase in risk of endometritis in comparison to those who did not receive cleaning (P = 0.04). Also, women in the cleaning group complained of pelvic tenderness more frequently than those in the non-cleaning group (p = 0.008).Conclusions: Uterine cleaning was associated with a significant increased risk of endometritis; however, it didn't increase the surgical time and estimated blood loss significantly.
Authors and Affiliations
RaghdaElsayed Ghonem, MBBCh Yasser Mohamed Abou Talib, Ahmed Mahmoud Hussein
Keywords
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- EP ID EP416644
- DOI 10.9790/0853-1711117281.
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