Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections | ||
| Egyptian Journal of Health Care | ||
| Article 59, Volume 13, Issue 1, March 2022, Pages 864-874 PDF (361.19 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.222511 | ||
| Authors | ||
| Amany M. Ahmed1; Rania El-Kurdy2; Lawahez M. Dwedar1 | ||
| 1Lecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt | ||
| 2Lecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt. | ||
| Abstract | ||
| Context: The morbidity and mortality rates associated with post-cesarean section (CS) infectious complications prove to be a burden for mothers, their infants, and the healthcare system. Aim: This study aimed to assess the effect of pre-elective cesarean section vaginal cleansing using povidone iodine versus chlorhexidine on the incidence of post-cesarean infections. Methods: This randomized controlled trial involved a simple random sample of 90 women undergoing elective CS who were allocated to either the control, povidone-iodine, or chlorhexidine group. The study was conducted at the Obstetrics and Gynecology Operative Department of Kafrelsheikh University Hospital, Kafrelsheikh Governorate, Egypt. Data were collected using two tools: Structured interview schedule and post-CS infection checklist. Results: The povidone-iodine group had a significantly lower rate of post-CS fever, endometritis, and wound infection than the control group (p = 0.045, 0.049, and 0.045, respectively). Furthermore, the control group had a significantly higher rate of post-CS fever, endometritis, and wound infection than the chlorhexidine group (p = 0.011, 0.028, and 0.031, respectively). In contrast, no statistically significant difference was observed in the rate of post-CS fever, endometritis, and wound infection between the povidone iodine and chlorhexidine groups (p = 0.300, 0.128, and 0.447, respectively). Conclusion: Vaginal cleansing using either povidone-iodine or chlorhexidine immediately before elective CS significantly reduces the rate of post-cesarean infections. Recommendation: This simple and cost effective vaginal cleansing method should be applied by nurses before elective CS. | ||
| Keywords | ||
| vaginal cleansing; elective cesarean section; povidone-iodine; chlorhexidine; postcesarean infections | ||
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