Incidence of post-operative (caesarean section) infectious morbidities in cleansing and non-cleansing group after povidone iodine vaginal cleaning

Authors

  • Pragya Verma Department Obstetrics and Gynecology, Regency Hospital- IVF Unit, Kanpur, Uttar Pradesh, India
  • Dolly Chawla Department Obstetrics and Gynecology, Dr. Baba Sahaib Ambedkar Medical College and Hospital, New Delhi, India
  • Rashmi Khatri Department Obstetrics and Gynecology, Dr. Baba Sahaib Ambedkar Medical College and Hospital, New Delhi, India
  • Preeti Verma Department of Community Medicine, Government Medical College, Kannauj, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213457

Keywords:

Caesarean section, Post-operative infectious morbidities (endometritis), Cleansing and non-cleansing group, Povidone iodine

Abstract

Background: Despite of wide spread use of prophylactic antibiotics and various antiseptic measures, post-operative infection remains one of the significant and serious complication of caesarean delivery contributing to high maternal morbidity and mortality. Objective was to study the incidence of post-operative infectious morbidities in patients with/without povidone iodine vaginal cleansing done prior to caesarean section.

Methods: A prospective randomized control study was done in the department of obstetrics and gynecology of Dr. Baba Saheb Ambedkar Medical College and Hospital, New Delhi.

Results: Mean age of participants in group A is 26.22±2.47 years and in group B is 26.48±2.3 years. Majority women (84.0%) underwent emergency lower segment caesarean section (LSCS). (6.4%) women developed post-operative endometritis, out of which maximum (4.6%) belong to no vaginal cleansing group (B) compared to 1.8% in povidone iodine vaginal cleansing group(A), which is statistically significant (p=0.01). Over all (13%) women had post-operative fever, with significant difference among the two groups i.e. (8.6%) were in group B versus (4.4%) in group A (p=0.005).

Conclusions: Povidone iodine vaginal cleansing prior to caesarean section is significantly effective in reducing post-operative infectious morbidities.

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References

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Published

2021-08-26

How to Cite

Verma, P., Chawla, D., Khatri, R., & Verma, P. (2021). Incidence of post-operative (caesarean section) infectious morbidities in cleansing and non-cleansing group after povidone iodine vaginal cleaning. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(9), 3393–3396. https://doi.org/10.18203/2320-1770.ijrcog20213457

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Original Research Articles