Post-cesarean wound infection in group changing the entire surgical team's gloves intraoperatively, after delivery of the placenta versus control group

  • Najma Bano Shaikh Associate Professor, Gynae and OBS department LUMHS/Jamshoro
  • Erum Bano Resident, Gynae and OBS department LUMHS/Jamshoro

Abstract

Objective: To compare the post-cesarean wound infection in group changing the entire surgical team's gloves intraoperatively, after delivery of the placenta versus control group.

Study design:  Randomized controlled trial.     

Setting: Obstetrics and Gynaecology unit 1, Liaquat University of Medical &Health and Sciences, Jamshoro

Duration of study:  Six months from December, 2017 to June, 2018

Subject and methods: All the post-caesarean section patients of age 18-40 years, gestational age 32-40 weeks and either of parity and booking status were included. A detailed history were taken and examination were done by resercher. All patients were randomly allocated in two groups by lottery method. In Group A the surgical team had changed the surgical gloves after delivery of the placenta during the cesarean procedure and in group B surgical gloves were not changed during the cesarean procedure. All admitted patients were followed up to first 07 days for post cesarean wound infection. All the information including with or without changes gloves and findings were recorded in a predesigned study proforma by the researcher. Data was analyzed via SPSS version 20.

Results: Total 110 patients were studied in both groups. Mean age was mean age 28.2+3.9 years in gloves changing group and mean age was 30.2+4.1 years in control group. Surgical site infection was significantly high in control group as in 25.5% of the patient as compared to 5.5% in patients of in gloves changing group (p=0.003).

Conclusion: Comparison shows that glove changing group has better outcome in terms of decrease the number of post cesarean wound infections by having the entire team change surgical gloves after delivery of the placenta as compared to control group.

Key words: post-cesarean wound infection, changing gloves intra operatively, placenta delivery.

Published
2021-04-07
Section
Original Articles