Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections

Abstract

Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections.

Risk Factors for Wound Infection Following Caesarean Section: A Case Control Study from Sir Salimullah Medical College & Mitford Hospital in Dhaka, Bangladesh

“…We [22]. A meta-analysis of six randomized controlled trials and three cohort showed that in high-risk obese women prophylactic negative pressure wound therapy reduced CS-SSI [23].…”

Implementation of vaginal preparation prior to caesarean section

“…The vaginal preparation prior to caesarean section protocol was developed after reviewing the available evidence. [7][8][9] The protocol was presented and approved by the SSI committee, the Women's Services Clinical Governance and the Trust Risk and Assurance Committee. The decision to use 10% povidone-iodine solution was made due to the obstetric theatre staff's familiarity with its use for vulvovaginal cleaning in obstetric anal sphincter injury repair.…”

“…A Cochrane review in 2018 concluded that vaginal preparation with povidone-iodine or chlorhexidine solution immediately before caesarean delivery probably reduces the rates of postoperative endometritis. 8 It was also recommended in a systematic review and meta-analysis of best practice perioperative strategies for preventing caesarean section SSIs published in the BJOG. 7 Vaginal preparation with povidone-iodine immediately before caesarean section is recommended by the WHO.…”

“…9 Women undergoing caesarean delivery who were already in labour or who had ruptured membranes benefited the most from this intervention. 8 There is no agreed protocol in the literature for vaginal preparation prior to caesarean section.…”

Quality in perinatal care: applying performance measurement using joint commission on accreditation of healthcare organizations indicators in Italy

“…Finally, cesarean section has been reported to be more frequently performed in the private healthcare sector than in the public one [24][25][26] and one of the main reasons for this is that cesarean sections receive higher reimbursement than normal vaginal births, regardless of the risks to women [27] and private healthcare facilities are commonly involved in deliveries in Southern Italy [24,28,29]. It is well known that cesarean sections should be discouraged because they create serious complications for mothers such as infections [30], obstetric haemorrhage [31], uterine rupture, stillbirth and pre-term birth [32]. Also, there is emerging evidence that children born by cesarean section have an increased risk of altered immune development, allergy and asthma, and reduced intestinal gut microbiome diversity [32].…”