Effectiveness of Preoperative Vaginal Cleansing with an Antiseptic Solution among Cesarean Patients

Abstract

Cesarean section is thought to be one of most common surgical method for delivery of baby, perhaps most frequent procedure by obstetricians. The most important factor after Cesarean section to return to normal life functions and look after new born is Infectious morbidity. Objective: To compare the Effectiveness of preoperative vaginal cleansing with an antiseptic solution among cesarean patients. Methods: This Comparative study was done in department of Obstetrics and Gynecology, Sheikh Zayed Hospital Chandka Medical College Larkana from 20 June 2019 and the last at 19 December 2019.we included 336 patients fulfilling the inclusion criteria. Informed consent was taken. The data were collected on prepared proforma in two groups as A group (intervention group) and B (control group) respectively. Results: Study includes 336 patients with mean age of 26.29±4.7 and 26.52±5.9 years, divided in two groups 168 in each group A and B respectively. Out of 336, 14(4.2%) developed endometritis, 8(2.4%) developed wound infection and 16(4.8%) developed fever. The composite morbidity was 11.3%; with 26.3% of group A and 73.6% of group B. Conclusions: This study showed that the use of 10% Povidone iodine was significant in reducing post op morbidity. Cleansing of vagina with an antiseptic solution is easy intervention before cesarean section