Cleaning of the caesarean wound in the first 5 days Pregnancy and Childbirth
Conditions
Interventions
Participants were randomly assigned to the following treatment arms using Block Randomisation:
1. Chlorhexidine (0.05% solution)
2. Normal saline (0.9% sodium chloride solution) or water (50:50 split)
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Aged 18 years and above 2. Caesarean section (CS) (planned or unplanned) 3. Within 24 hours of CS 4. Complete skin closure 5. Access to telephone 6. Can communicate in Malay or English
Exclusion criteria
Exclusion criteria: 1. Wound issue (gape, discharge, pain, tenderness, redness, swelling, heat) 2. Hypersensitivity or allergy to chlorhexidine 3. Fever (>38°C) in the last 48 hours 4. Chorioamnionitis or suspected chorioamnionitis 5. Wound haematoma or bruising
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The cumulative superficial surgical site infection rates measured by the care provider and by self-reporting through telephone interviews from surgery to 30 days after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures are assessed by the care provider and by self-reporting through telephone interview (Day 30): In hospital, evaluation: 1. Before discharge, the wound will be assessed using the CDC criteria for diagnosing superficial surgical site infection by care provider (at hospital discharge) Measured after hospital discharge by telephone interview: 1. Superficial surgical site infection measured using a telephone-based questionnaire adapted from CDC criteria by self-reporting (Day 15 and 30) 2. Satisfaction with wound healing measured using an 11-point (0-10) numerical rating scale (NRS) by self-grading (Day 15 and 50) 3. Compliance with twice daily wound cleansing in the first 5 days (at least 80% of 10 planned episodes) protocol measured using self-reporting (Day 15) 4. Satisfaction with wound appearance measured using an 11-point (0-10) NRS to rate, by self-grading (Day 30) 5. ‘I will recommend my allocated wound cleansing solution to a friend’ measured using a 5-grade Likert scale (strongly agree, agree, neutral, disagree or strongly disagree response) by self-grading (Day 15) | — |
Countries
Malaysia
Contacts
Public ContactAmsavalli;Tan Sundaresan;Peng Chiong
;
Outcome results
None listed