Chlorhexidine Vaginal Cleansing Versus Iodine Prior to C-section and the Rate of Postoperative Infection
- Conditions
- Vaginal Scrubbing
- Interventions
- Other: IodineOther: ChlorhexidineOther: Antibiotics
- Registration Number
- NCT03431701
- Lead Sponsor
- Makassed General Hospital
- Brief Summary
Background: Women undergoing cesarean delivery have 5 to 20 fold greater risk for infection and infectious morbidity compared with those undergoing vaginal birth. Endometritis, febrile morbidity, and wound infection are the most frequent complications of post cesarean infections. Endometritis accounts for 6-27% followed by clinically significant fever, which was reported about 5-24%,while the incidence of wound infection is about 2-9%.Previous studies evaluated whether vaginal cleansing can reduce the incidence of postoperative infectious morbidity. In most of the studies, povidone iodine was used as intervention.
Objectives: The aim of this study is to test the hypothesis that preoperative vaginal cleansing with chlorhexidine would be superior to iodine for the prevention of maternal infectious morbidities including endometritis, fever and wound complications.
Methods: This prospective randomized single blinded controlled trial will be conducted at Makassed General Hospital between February 2018 and January 2019. Total of 300 patients, 150 in each group, will be enrolled. Group 1 patients will receive chlorhexidine vaginal cleansing while group 2 patients will receive iodine prior to C-section. Adverse post infectious morbidities such as endometritis, febrile illness and wound infections will be observed within 30 days of C-section.
- Detailed Description
This prospective randomized single blinded controlled trial will be conducted at Makassed General Hospital between February 2018 and January 2019. All pregnant women who will undergo cesarean delivery and willing to sign the informed consent will be included. Total of 300 patients, 150 in each group, will be enrolled. Group 1 patients will receive chlorhexidine vaginal cleansing while group 2 patients will receive iodine prior to C-section. Adverse post infectious morbidities such as endometritis, febrile illness and wound infections will be observed d within 30 days of C-section.
Vaginal cleansing will be performed in conjunction with the abdominal preparation with foam sponge that contains either chlorhexidine or iodine, sponge will be inserted into the vagina and rotated 360 degrees in the vaginal cavity for about 30 sec. All participants will receive a single body mass index (BMI) based antibiotic dose of cefazolin within 30 minutes prior to the incision.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 333
- all pregnant women who will undergo cesarean delivery
- and willing to sign the informed consent.
- Known allergy to the antiseptics used
- Infection diagnosis on admission
- Age ≤ 17 years
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group chlorhexidine Antibiotics Patients will receive chlorhexidine abdominal and vaginal scrubbing Group iodine Iodine Patients will receive iodine abdominal and vaginal scrubbing Group chlorhexidine Chlorhexidine Patients will receive chlorhexidine abdominal and vaginal scrubbing Group iodine Antibiotics Patients will receive iodine abdominal and vaginal scrubbing
- Primary Outcome Measures
Name Time Method Infectious morbidities Within 30 days post cesarean infectious morbidities: endometritis, febrile morbidity and wound infection
- Secondary Outcome Measures
Name Time Method Readmission to the hospital Within 30 days Percentage of patients readmitted to the hospital
Length of hospital stay Within 30 days Length of hospital stay after delivery
Trial Locations
- Locations (1)
Makassed General Hospital
🇱🇧Beirut, Lebanon