wound healing after caesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. All booked and stable pregnant women who are admitted for elective caesarean sections b. Term pregnancy c. Informed consent to participate in the study after counselling d. Low transverse abdominal incisions will be recruited.
Exclusion criteria
Exclusion criteria: a. Pregnant women with medical conditions such as Diabetes mellitus, chronic renal diseases, autoimmune disease, collagen vascular diseases, etc, that may interfere with the healing process. b. Women with untreated anaemia in pregnancy c. Refuse consent d. Women planned for elective caesarean section but ended up with vaginal delivery e. consumption of drugs affecting wound healing, such as corticosteroids, anticoagulants, immunosuppressants and chemotherapy. f. Uncontrolled medical conditions in pregnancy such as Diabetes mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of wound healing using REEDA Score. The score will be used to assess the Redness, Edema, Ecchymosis, Discharge and Apposition. The total score will be interpreted as - Healed = 0; moderately healed = 1 to 5; mildly healed = 6 to 10; not healed = 11 to 15. The participant will be studied at a 7-day interval until the wound is healed and the REEDA score is 0. | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of SSI. The diagnosis of the surgical site infection is clinical, and the rate will be determined by the number of infected wounds by 40 at the time of wound inspection.;Infective microorganism isolated from the SSI. A wound swab will be taken of the infected wound and sent for mciroscopy, culture, and sensitivity testing. The infective microorganism will be isolated in the laboratory. ;antibiotic sensitivity. For each of the infective microorganism isolated from the SSI, an antibiogram will be done to determine the antibiotic sensitivity | — |
Countries
Nigeria
Contacts
Co researcher and Senior Registrar at the University of Maiduguri Teaching Hospital