Caesarean section wound care Pregnancy and Childbirth Caesarean section wound care
Conditions
Interventions
Participants are randomly allocated to one of two groups.
Group 1: The transverse suprapubic Caesarean wound is left exposed after completion of skin closure (wound to be left exposed
Sponsors
University of Malaya
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Age 18 years old or more 2. Undergoing Caesarean section 3. Tested negative for HIV and Hepatitis B in current pregnancy
Exclusion criteria
Exclusion criteria: 1. Known infectious person particularly if infected with organism transmissible by blood or bodily secretions 2. Category 1 (very urgent) caesarean section 3. Need for compressive wound dressing as per surgeon’s direction 4. Caesarean section requiring midline incision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Caesarean wound surgical site infection rate is assessed using physical examinations on day 1 and at time of discharge and through telephone interviews on day 14 and 28 2. Patient’s satisfaction with wound management is determined using a visual numerical rating score (VNRS) at hospital discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Wound pain is measured using a visual numerical rating score (VNRS) on day 1 2. Pain on the process of wound exposure (i.e. dressing removal compared to exposing wound by lifting clothes in the uncovered wound arm) is measured using a visual numerical rating score (VNRS) on day 1 3. Need for surgical gauze application to absorb wound exudate or need for dressing (in exposed arm) or dressing change (in dressed arm) 4. Patient preferences for exposed/dressed wound care are determined using a questionnaire specifically designed for the study on day 28 5. Satisfaction with Caesarean wound rated using a 11 point VNRS is measured using telephone interviews on day 14 and 28 | — |
Countries
Malaysia
Contacts
Public ContactTan Peng Chiong
Outcome results
None listed