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ADding negative pRESSure to improve healING in obese women undergoing caesarean section (The DRESSING Trial)

Not Applicable
Completed
Conditions
sing negative pressure wound therapy to prevent surgical site infections in obese women following caesarean section
Using negative pressure wound therapy to prevent surgical site infections in obese women following caesarean section
Public Health - Health service research
Reproductive Health and Childbirth - Childbirth and postnatal care
Surgery - Other surgery
Registration Number
ACTRN12612000171819
Lead Sponsor
HMRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients, Griffith University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
100
Inclusion Criteria

(i) informed written informed consent
(ii) recorded Body Mass Index (BMI) of equal to or greater than 30kg/m2 at the first antenatal visit as per the Queensland Maternity
and Neonatal Clinical Guideline 2010
(iii) booked for elective CS surgery (before the commencement of labour)

Exclusion Criteria

(i) Non-English speaking patients without interpreter
(ii) existing infection
(iii) Previous participation in this trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Presence of surgical site infection (SSI)<br><br>Presence of SSI will be assessed by visual inspection and/or through an aseptically obtained culture. Superficial SSI will be identified by at least one of the following signs; purulent discharge, organisms identified through an aseptically obtained culture, pain/ tenderness/ localised swelling/ heat, or a diagnosis of SSI by the consulting surgeon. A deep incisional SSI will be identified by one of the following; purulent discharge, wound dehiscence, abscess formation, or diagnosis of SSI by the treating surgeon[Daily for the period of hospitalisation and then via telephone interview at 1, 2, 3 and 4 week post-surgery follow-up]
Secondary Outcome Measures
NameTimeMethod
Wound complications including dehiscence, haematoma and seroma will be assessed by visual inspection[Daily for period of hospitalisation and then via telephone interview at 1, 2, 3 and 4 week post-surgery follow-up];self-reported incisional pain in the 2 days after caesarean surgery[daily for two days post surgery];hospital readmissions[at four weeks post surgery];hospital length of stay[at four weeks post surgery];Health-related quality of life (QOL) using SF-12[at baseline i.e. on recruitment at 36 weeks, and via telephone interview at 1, 2, 3 and 4 week post-surgery follow-up]
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