post-caesarean section surgical site infection Pregnancy and Childbirth
Conditions
Interventions
control
Sponsors
self
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. All consenting pregnant women admitted to ATBUTH Bauchi for either an elective or emergency caesarean section 2. Gestational age: =28 weeks.
Exclusion criteria
Exclusion criteria: 1. Subjects known to be hypersensitive to povidone-iodine 2. Presence of features of subclinical/clinical chorioamnionitis 3. HIV in Pregnancy 4. Diabetes mellitus in pregnancy 5. Patient on long time steroid intake 6. Unconscious patient 7. Patients with cord prolapse, face presentation with ruptured membranes or placenta previa
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical Site Infection: wound infection will be diagnosed when the surgical wound has either oedema, erythema, discharge, exudate, hematoma, novel undue tenderness at incisional site or wound gaping with or without or fever (temperature of =380C) requiring antibiotics. These will be assessed on day three after surgery when the wound will be opened for inspection. Endometritis will be diagnosed by presence of any two of the following; fever (temperature of =380C) after 24 hours, lower abdominal pain, novel undue uterine tenderness, uterine subinvolution or offensive vaginal discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of SSI, febrile morbidity (temperature of =380C), reaction to povidone-iodine (itching, erythema, blister at the application area), burst abdomen, septic shock, and death attributed to infection among study groups | — |
Countries
Nigeria
Contacts
Public ContactIsmail Tiamiyu
Unit consultant
Outcome results
None listed