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

Pragya Verma; Dolly Chawla; Rashmi Khatri; Preeti Verma

doi:10.18203/2320-1770.ijrcog20213457

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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