Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation
Background: Despite the use of several strategies to prevent post-Cesarean complications including wound infections and endometritis, they remain high morbidities. Objective: To assess the pre-Cesarean preparation of the vagina with povidone iodine as a preventive measure against post-cesarean w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
College of medicine/ University of Diyala
2020-06-01
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| Series: | Diyala Journal of Medicine |
| Subjects: | |
| Online Access: | http://djm.uodiyala.edu.iq/index.php/djm/article/view/556 |
| _version_ | 1827636495320612864 |
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| author | Alaa Raheem Kareem Wasan Munim Niran Kamel Mustafa Rasool Aal- Saleh Sarah Abdulkareem Ali Al-Dujaili Mohammed Luay Subhi |
| author_facet | Alaa Raheem Kareem Wasan Munim Niran Kamel Mustafa Rasool Aal- Saleh Sarah Abdulkareem Ali Al-Dujaili Mohammed Luay Subhi |
| author_sort | Alaa Raheem Kareem |
| collection | DOAJ |
| description |
Background: Despite the use of several strategies to prevent post-Cesarean complications including wound infections and endometritis, they remain high morbidities.
Objective: To assess the pre-Cesarean preparation of the vagina with povidone iodine as a preventive measure against post-cesarean wound infection and endometritis.
Patients and Methods: A case-control study conducted on 200 pregnant women who prepared for elective Cesarean section. The operations were conducted either with standard classical abdominal scrub alone (as control group) or vaginal povidone iodine preparation in addition to the standard abdominal scrub. Each woman was followed up post-operatively for development of fever, endometritis, and wound infection, duration of postoperative antibiotics administration, and postoperative stay.
Results: Post-Cesarean endometritis developed in 6% of women who received a vaginal preparation pre-operatively and 15% of the controls. 30% of control women and 20% of women in the treatment group had post-operative febrile illness. Wound infections were uncommon complications that occurred only in two percent of the control patients and one percent of patient in the treatment group.
Conclusion: Pre-operative vaginal treatment with povidone iodine decreased the risk of post-Cesarean endometritis. However, this protocol doesn't decrease the whole risk of post-operative wound infection or fever.
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| first_indexed | 2024-03-09T15:42:43Z |
| format | Article |
| id | doaj.art-46116236dd0341839fbd1cf8f09002c0 |
| institution | Directory Open Access Journal |
| issn | 2219-9764 2617-8982 |
| language | English |
| last_indexed | 2024-03-09T15:42:43Z |
| publishDate | 2020-06-01 |
| publisher | College of medicine/ University of Diyala |
| record_format | Article |
| series | Diyala Journal of Medicine |
| spelling | doaj.art-46116236dd0341839fbd1cf8f09002c02023-11-24T23:22:57ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822020-06-01182Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation Alaa Raheem Kareem Wasan MunimNiran KamelMustafa Rasool Aal- SalehSarah Abdulkareem Ali Al-DujailiMohammed Luay Subhi Background: Despite the use of several strategies to prevent post-Cesarean complications including wound infections and endometritis, they remain high morbidities. Objective: To assess the pre-Cesarean preparation of the vagina with povidone iodine as a preventive measure against post-cesarean wound infection and endometritis. Patients and Methods: A case-control study conducted on 200 pregnant women who prepared for elective Cesarean section. The operations were conducted either with standard classical abdominal scrub alone (as control group) or vaginal povidone iodine preparation in addition to the standard abdominal scrub. Each woman was followed up post-operatively for development of fever, endometritis, and wound infection, duration of postoperative antibiotics administration, and postoperative stay. Results: Post-Cesarean endometritis developed in 6% of women who received a vaginal preparation pre-operatively and 15% of the controls. 30% of control women and 20% of women in the treatment group had post-operative febrile illness. Wound infections were uncommon complications that occurred only in two percent of the control patients and one percent of patient in the treatment group. Conclusion: Pre-operative vaginal treatment with povidone iodine decreased the risk of post-Cesarean endometritis. However, this protocol doesn't decrease the whole risk of post-operative wound infection or fever. http://djm.uodiyala.edu.iq/index.php/djm/article/view/556Post-Cesarean Endometritis, Povidone Iodine-Vaginal |
| spellingShingle | Alaa Raheem Kareem Wasan Munim Niran Kamel Mustafa Rasool Aal- Saleh Sarah Abdulkareem Ali Al-Dujaili Mohammed Luay Subhi Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation Diyala Journal of Medicine Post-Cesarean Endometritis, Povidone Iodine-Vaginal |
| title | Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation |
| title_full | Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation |
| title_fullStr | Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation |
| title_full_unstemmed | Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation |
| title_short | Decreased Post-Cesarean Endometritis Following Povidone Iodine-Vaginal Preparation |
| title_sort | decreased post cesarean endometritis following povidone iodine vaginal preparation |
| topic | Post-Cesarean Endometritis, Povidone Iodine-Vaginal |
| url | http://djm.uodiyala.edu.iq/index.php/djm/article/view/556 |
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