Cesarean Section Complications, Surgical Wound, Surgical Wound Infection
Conditions
Keywords
wound dressing, cesarean
Brief summary
An open labelled randomised trial on the timing of wound dressing removal for emergency caesarean delivery in labour.
Detailed description
The trial is unblinded randomised trial on surgical wound dressing at 24 versus 48 hours after the emergency caesarean delivery in labour. The primary outcome is the prevalence of wound complications (hematoma, seroma, infection/ dehiscence) The secondary objectives are the maximum pain after the surgery (in ward) and the timing of the patient's first bath after the surgery
Interventions
The cesarean wound dressing is to be removed and the surgical wound exposed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-50 2. Lower segment caesarean delivery 3. Primary or repeat caesarean delivery 4. Caesarean section in active phase of labour. 5. Regional anaesthesia
Exclusion criteria
1. Upper segment or classical caesarean delivery 2. Massive postpartum haemorrhage \> 1.5 litre 3. Pre-delivery chorioamnionitis 4. Skin closure using interrupted suture 5. Acquired or congenital coagulation disorder 6. Associated medical or obstetric condition requiring prolonged hospital stay after delivery such as severe pre-eclampsia, uncontrolled diabetes mellitus, cardiac disease, systemic infection. 7. Inability to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cesarean wound complication | 30 days | Hematoma, seroma, wound infection, wound dehiscence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain control | 48 hours | Perceived pain after caesarean according to Visual Analogue Scale (0/10 = no pain; 10/10 = worst pain) |
| Self hygiene | 48 hours | Timing of first bath after surgery |
Countries
Malaysia