Effect of intra-operative glove changing during cesarean section on post-operative complications: a randomized controlled trial

Abstract

Intra-operative glove changing prior to abdominal closure during cesarean section significantly reduced the incidence of post-operative wound complications.

The Case for Standardizing Cesarean Delivery Technique

“… 4 Although one recent RCT reported a decreased risk of a composite wound complication with glove change, three previous trials found no benefit to glove change, including the largest (N=760, relative risk [RR] for endometritis 1.0, 95% CI 0.79–1.3). 69 – 72 Given this inconsistent and conflicting data, routine glove change is not recommended.…”

Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis

“…Characteristics of included studies. Five studies were published in peer-reviewed journals [21][22][23][24][25] . One included study was available only in an academic search engine 26 .…”

“…Five included studies were undertaken in the United States, whereas the remaining included study was conducted in India. One included study recruited only women who underwent elective CS 23 .…”

“…Of the six included studies, glove change was performed by all surgical team members in three studies 23,25,26 . One included study did not state the person responsible for glove change 24 .…”

“…Glove change was performed after delivery of the fetus and after delivery of the placenta in three and two included studies, respectively [21][22][23][24][25] . In a study by Devvoor et al 26 , there were three comparison groups: the group without glove change, the group with glove change after delivery of the fetus, and the group with glove change after delivery of the placenta.…”