Effect of vaginal cleansing on postoperative factors in elective caesarean sections: a prospective, randomised controlled trial

Göymen, Abdullah; Şimşek, Yavuz; Ozdurak, Halil Ibrahim; Özkaplan, Şükran Esra; Akpak, Yaşam Kemal; Özdamar, Özkan; Oral, Serkan

doi:10.1080/14767058.2016.1174995

Cited by 9 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Except for their median age, that the three groups were similar in terms of their socio-demographic characteristics (height, weight, parity, educational attainment and income status) is important for the reliability of the study. The results of the present study are consistent with those of Göymen et al 's study [19]. In the present study, there were no statistical differences between the groups regarding the duration of surgery, preoperative Hgb, Hct and WBC values, levels of PCT at the postoperative 24 th hour, and VAS score for pain at the postoperative 6 th hour.…”

Section: Discussionsupporting

confidence: 93%

“…However, the number of studies investigating the effect of preoperative vaginal cleansing on postoperative maternal morbidity in primiparous women undergoing elective caesarean section is limited. Similar to the present study, in their study, Göymen et al, found that in primiparous women undergoing elective caesarean section, pre-operative vaginal cleansing with povidone iodine and chlorhexidine reduced postoperative pain and that CRP values at the 24 th hour were lower [19]. Although, vaginal cleansing before caesarean section is more effective in decreasing postoperative infection morbidity in women with premature ruptured membranes whose labor started, this study also showed that vaginal cleansing performed with normal saline solution or povidone iodine solution just before birth in primiparous women undergoing elective caesarean section statistically significantly decreased postoperative pain, fever and CRP levels, which is a biochemical marker of infection, compared to the women in the control group.…”

Section: Marmara Medical Journalsupporting

confidence: 90%

“…The sample size of the study was calculated using the G * Power (version 3.1). A literature review demonstrated that vaginal cleansing had an effect on postpartum maternal morbidity [19]. Accordingly, when the maternal morbidity was taken into consideration in determining the sample size of the study, the minimum sample size was determined as 150 people (n = 50 for each group) (confidence interval: 95%, test power: 80.9% and effect size: f = 0.2586919) Considering the possibility of refusals, withdrawals and/or losses in the study, it was decided to include 60 participants in each group, and then the study sample was selected.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

The effect of vaginal cleansing performed with normal saline solution or povidone-iodine before elective caesarean section on postoperative maternal morbidity and infection; A prospective randomized controlled study

Kanza

2021

Marmara Medical Journal

View full text Add to dashboard Cite

Objective: The present study was designed to determine the effect of vaginal cleansing performed with saline solution or povidoneiodine before elective cesarean section on postpartum maternal morbidity and postoperative infection. Patients and Methods: One hundred and eighty primiparae, awaiting elective caesarean section, were assigned into the following three groups, Group1 (saline solution vaginal cleansing for 30s, n:60); Group2 (povidone-iodine vaginal cleansing for 30s, n:60); Group3 (control group, n:60). Results: There were statistically significant differences between the 3 groups in terms of the median values for the postoperative C-reactive protein (CRP) and fever, and visual analogue scale (VAS) score (p<0.001). The median value for the postoperative CRP level was 26.5 mg/dl, 59.5mg/dl and 62.3mg/dl in the saline solution, povidone-iodine and control groups respectively. The median value for the VAS score was 3,4 and 4; the incidence of the patients with fever >38°C was 1.7%, 3.4% and 10% in the saline solution, povidone-iodine and control groups, respectively. Conclusion: Vaginal cleansing with normal saline solution or povidone-iodine before caesarean section significantly reduced postoperative pain, fever, and CRP levels. Cleansing of the vagina before cesarean section clinically reduced the number of postcaesarean wound site infections, and endometritis; however, the reduction was not statistically significant.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Marmara Medical Journalsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of vaginal cleansing performed with normal saline solution or povidone-iodine before elective caesarean section on postoperative maternal morbidity and infection; A prospective randomized controlled study

Kanza

2021

Marmara Medical Journal

View full text Add to dashboard Cite

show abstract

“…One study noted improved pain scores until 7 days postoperatively [135] while the other did not report any pain reduction [36]. Pre‐operative vaginal cleansing resulted in minor but statistically significant reductions in postoperative pain scores [137].…”

Section: Resultsmentioning

confidence: 99%

PROSPECT guideline for elective caesarean section: updated systematic review and procedure‐specific postoperative pain management recommendations

et al. 2020

View full text Add to dashboard Cite

Caesarean section is associated with moderate-to-severe postoperative pain, which can influence postoperative recovery and patient satisfaction as well as breastfeeding success and mother-child bonding. The aim of this systematic review was to update the available literature and develop recommendations for optimal pain management after elective caesarean section under neuraxial anaesthesia. A systematic review utilising procedure-specific postoperative pain management (PROSPECT) methodology was undertaken. Randomised controlled trials published in the English language between 1 May 2014 and 22 October 2020 evaluating the effects of analgesic, anaesthetic and surgical interventions were retrieved from MEDLINE, Embase and Cochrane databases. Studies evaluating pain management for emergency or unplanned operative deliveries or caesarean section performed under general anaesthesia were excluded. A total of 145 studies met the inclusion criteria. For patients undergoing elective caesarean section performed under neuraxial anaesthesia, recommendations include intrathecal morphine 50-100 µg or diamorphine 300 µg administered pre-operatively; paracetamol; non-steroidal anti-inflammatory drugs; and intravenous dexamethasone administered after delivery. If intrathecal opioid was not administered, single-injection local anaesthetic wound infiltration; continuous wound local anaesthetic infusion; and/or fascial plane blocks such as transversus abdominis plane or quadratus lumborum blocks are recommended. The postoperative regimen should include regular paracetamol and non-steroidal anti-inflammatory drugs with opioids used for rescue. The surgical technique should include a Joel-Cohen incision; non-closure of the peritoneum; and abdominal binders. Transcutaneous electrical nerve stimulation could be used as analgesic adjunct. Some of the interventions, although effective, carry risks, and consequentially were omitted from the recommendations. Some interventions were not recommended due to insufficient, inconsistent or lack of evidence. Of note, these recommendations may not be applicable to unplanned deliveries or caesarean section performed under general anaesthesia.

show abstract

“…to evaluate the effect of vaginal cleansing with povidone iodine versus benzalkonium chloride before CS on postpartum infectious morbidities. Povidone iodine group showed statistically significant reduction in both postoperative pain and CRP levels 24 hours after CS, when compared to the control group [15]. In our intervention there was statistically significant difference (p value=0.005) between the intervention group (received vaginal clindamycin) and the control group (received nothing) as regard white blood cells (WBC) count 24 hours after CS and.…”

Section: Göymen Et Al Performed An Interventionmentioning

confidence: 57%

Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity

Salem

Soliman

Ammar

2022

Microbes and Infectious Diseases

View full text Add to dashboard Cite

Background: Post-cesarean section (CS) infections, namely, endometritis, fever and wound infection are considered a major health problem which necessitates effective interventions. Antibiotic prophylaxis before CS cannot completely eliminate the risk of postpartum infections. Preoperative antiseptic vaginal cleansing is one of the commonest methods to reduce infectious morbidities after CS. Aim of the work: The aim of this work is to evaluate the effect of prophylactic administration of clindamycin vaginal suppository before elective CS on postpartum infectious morbidity. Methods: 196 patients were included in this intervention. They were divided equally into two groups (each 98 patients); intervention group (which received clindamycin 100 mg vaginal suppository at bedtime for 3 nights before CS) and control group (which received nothing). Both groups were followed till the end of puerperium for the development of postpartum infections namely, endometritis, fever, and wound infection. Results: There was statistically significant decrease in the frequency of endometritis, fever, and wound infection in the intervention group when compared to control group. Also, there was highly statistically significant decrease in the frequency of overall post-CS infectious morbidity in the intervention group when compared to control group. There was statistically significant difference between both groups as regard white blood cells count and C-reactive protein level 24 hours after cesarean section. Conclusion: Prophylactic administration of clindamycin vaginal suppository before elective CS reduces the risk of postpartum infections namely endometritis, fever, wound infection and overall post-CS infectious morbidity. Preoperative clindamycin vaginal suppository could be protective against post-CS infectious morbidities.

show abstract

Effect of vaginal cleansing on postoperative factors in elective caesarean sections: a prospective, randomised controlled trial

Abstract: The preoperative vaginal cleansing with povidone iodine could reduce the postoperative pain, analgesic need and infection parameter.

Cited by 9 publications

References 13 publications

The effect of vaginal cleansing performed with normal saline solution or povidone-iodine before elective caesarean section on postoperative maternal morbidity and infection; A prospective randomized controlled study

The effect of vaginal cleansing performed with normal saline solution or povidone-iodine before elective caesarean section on postoperative maternal morbidity and infection; A prospective randomized controlled study

PROSPECT guideline for elective caesarean section: updated systematic review and procedure‐specific postoperative pain management recommendations

Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity

Contact Info

Product

Resources

About