418841

Vaginal Preparation with Povidone Iodine before Caesarean Delivery: A Randomized Control Trial

Article

Last updated: 29 Mar 2025

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Abstract

Background: Infection is the commonest complication associated with Caesarean section (CS). There is a need to modify our practice to reduce infectious morbidity associated with Caesarean section. Objectives: The study aimed at investigating the effect of vaginal preparation with antiseptic lotion on post-Caesarean infection rate, namely; maternal febrile morbidity, endometritis and wound infection. Subjects and Methods: A randomized trial where patients were randomly assigned into two groups: Intervention group and a control group with 65 patients in each group.  Patients were reviewed within the 3rd and 5th postoperative day to look for predefined variables for maternal febrile morbidity, endometritis and wound site infection. Results: Vaginal preparation with povidone-iodine was found to decrease the risk of post-Caesarean febrile morbidity, endometritis and wound infection. There was a statistically significant reduction in endometritis observed in the intervention group (p= 0.041) Conclusion: Vaginal preparation with antiseptic lotion significantly reduced post-operative Caesarean endometritis, and composite infectious morbidity hence beneficial. Since this intervention is expensive, it gives a lot of relief and benefits at virtually no cost.  

DOI

10.21608/ejhm.2025.418841

Keywords

Caesarean section, povidone-iodine, Vagina, Endometritis, wound infection

Volume

98

Article Issue

1

Related Issue

52551

Issue Date

2025-01-01

Receive Date

2025-03-24

Publish Date

2025-01-01

Page Start

1,248

Page End

1,253

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_418841.html

Detail API

http://journals.ekb.eg?_action=service&article_code=418841

Order

179

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Vaginal Preparation with Povidone Iodine before Caesarean Delivery: A Randomized Control Trial

Details

Type

Article

Created At

29 Mar 2025