Vaginal Cleansing Prior to Cesarean Section and Post-Operative Infectious Morbidity

  • Sara Asad Kiani Post Graduate Resident MCH, PIMS. Islamabad
  • Majida Zafar Senior Registrar, MCH, PIMS. Islamabad
  • Shagufta Yasmin Assistant Professor, MCH, PIMS. Islamabad
  • Syeda Batool Mazhar Professor and HOD MCH, PIMS, Islamabad

Abstract

Objective: To compare the frequency of post-operative infectious morbidity in patients undergoing emergency cesarean section with and without pre-operative vaginal cleansing.
Methodology: A Randomized controlled trial in the department of obstetrics and gynecology, PIMS, Islamabad from 1st September 2014 to 31st January 2015 was conducted including 434 patients. Group B women received only abdominal and vulval scrubbing while Group A received additional vaginal cleansing with pyodine. Patients were followed up for development of infectious morbidity up to three weeks.
Results: Mean age of 28.4 ± 4.6 years in group A and 27.6 ± 5.9 years in group B. Fever was seen in 9 (4.1%) women in group A and 16 (7.4%) in group B (p=0.149). Endometritis was noted in 3 (1.4%) women in group A and 19 (8.8%) in group B (p=0.000). Wound Infection occurred in 3 (1.4%) women in group A and 8 (3.7%) in group B (p=0.126).
Conclusion: Use of antiseptic for vaginal cleaning before cesarean section decreased postpartum infectious morbidity due to endometritis.

Published
2018-09-06
How to Cite
ASAD KIANI, Sara et al. Vaginal Cleansing Prior to Cesarean Section and Post-Operative Infectious Morbidity. Journal of the Society of Obstetrics and Gynaecologists of Pakistan, [S.l.], v. 8, n. 2, p. 95-99, sep. 2018. ISSN 2307-7115. Available at: <http://jsogp.net/index.php/jsogp/article/view/151>. Date accessed: 19 dec. 2018.
Section
Original Articles