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A comparison of the rate of surgical site infections after cesarean section depending on the type of suture used for subcutaneous closure-continuous versus interrupted.
Patients at term that are candidates for elective cesarean section will receive an explanation regarding the study and sign informed consent. Patients will then be divided randomly to one of 2 treatment groups based on the type of subcutaneous tissue closure:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interrupted sutures | Active Comparator | Subcutaneous tissue closure by interrupted sutures. |
|
| Continuous sutures | Active Comparator | Subcutaneous tissue closure by continuous sutures. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Subcutaneous tissue closure | Procedure | Subcutaneous tissue closure with 2-0 vicryl suture. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Surgical site infection rate. | Surgical site infection rate. | From admission up to 6 weeks postpartum. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of re-admission due to surgical site infection. | rate of re-admission within 6 weeks postpartum due to surgical site infection. | From admission up to 6 weeks postpartum. |
| Rate of postoperative febrile morbidity. |
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Inclusion Criteria:
Exclusion Criteria:
Female
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| Name | Affiliation | Role |
|---|---|---|
| Roy Lauterbach, MD | Rambam Healthcare Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam healthcare campus | Haifa | Israel |
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Rate of maternal body temperature > 38°C.
| From admission up to 6 weeks postpartum. |
| Rate of maternal fever. | Rate of maternal fever in degrees celsius. | From admission up to 6 weeks postpartum. |
| Duration of maternal fever. | Duration of maternal fever in days. | From admission up to 6 weeks postpartum. |
| Rate of antibiotic use for the treatment of surgical site infection. | Rate of antibiotic use for the treatment of surgical site infection. | From admission up to 6 weeks postpartum. |
| Cesraean section-to-surgical site infection time interval. | Cesraean section-to-surgical site infection time interval in days. | From admission up to 6 weeks postpartum. |
| Rate of bacteremia. | Rate of bacteremia. | From admission up to 6 weeks postpartum. |
| Rate of sepsis. | Rate of sepsis. | From admission up to 6 weeks postpartum. |
| Post-operative duration of hospitalization. | Post-operative duration of hospitalization in days. | From admission up to 6 weeks postpartum. |
| Postoperative pain. | Postoperative pain based on the visual analogue scale score ranging from 0-10. | From admission up to 6 weeks postpartum. |
| Rate of postoperative anemia. | Rate of a hemoglobin level of under 10 gr/dL | From admission up to 6 weeks postpartum. |
| Blood transfusion rates. | Blood transfusion rates (recommended to patients with a postpartum hemoglobin level of under 7 gr/dL or between 7-8 gr/dL if anemia related symptoms are present) | From admission up to 6 weeks postpartum. |
| Breastfeeding rates. | Breastfeeding rates. | From admission up to 6 weeks postpartum. |
| rate of voiding problems. | Rate of need for either intermittent catheterization or 24-hour foley insertion to void | From admission up to 6 weeks postpartum. |
| Venous thromboembolism rates. | Venous thromboembolism rates. | From admission up to 6 weeks postpartum. |
| Rate of admission to intensive care unit. | Rates of admission to intensive care unit | From admission up to 6 weeks postpartum. |
| Maternal death rate | Maternal death rate. | From admission up to 6 weeks postpartum. |