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Vaginal Cleaning with Chlorhexidine Solution in Preventing Post-Caesarean Section Infections

Not Applicable
Completed
Conditions
Pregnancy and Childbirth
Registration Number
PACTR202004634203807
Lead Sponsor
ogah okechukwu c
Brief Summary

The study showed that the use of 1% chlorhexidine in cleaning the vaginal before emergency caesarean section significantly reduced infectious morbidities like endometritis, decreased hospital stay. It had no effect on surgical site infection. Endo-cervical colonization by micro-organisms was significantly higher in the control 11(14%) in study group versus 41(51)% in control group, (RR) = 0.37,95% CI {0.21 – 0.64}, P 0.0001. Fowl smelling vaginal discharge was 2(2.6%) in study group versus 18(22.5%), (RR) = 9.5, 95% CI {1.30 – 64.55}, P 0.0002. Abdominal tenderness was also higher in the control group 3(3.8%) for study versus 15(30%) for control, (RR) = 2.87, 95% CI {1.00 – 8.21}, P 0.0133. Fever was also lower in the study group but was not statistically significant P value 0.286.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
168
Inclusion Criteria

Consented pregnant women undergoing emergency caesarean section at FETHA.
All unbooked patients undergoing caesarean section after informed consent
Patients who have been in labour for four hours or more after hospital admission.

Exclusion Criteria

Women with features of clinical chorioamnionitis
Women with fever (temperature = 38 degree C)
Fetal distress as an indication for CS
Placenta previa diagnosed on ultrasound
Anaemia (pack cell volume less than 21%)
Uncontrolled Gestational diabetes mellitus

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

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