Effectiveness of Glove Changing in Reducing Wound-related Complications

Using a Randomized Control Trial to Evaluate the Effectiveness of Glove Changing in Reducing Wound-related Complications Following Cesarean Section in Vietnam

This study aimed to investigate the effectiveness of glove changing in reducing complications of cesarean deliveries in Vietnam.

In Vietnam, the rate of Cesarean section (CS) is very high, ranging from 40-50%. Despite that, there are very limited publications concerning the risk factors, complications, and management of surgical site infection (SSI) following CS. Our study is the first to investigate the effectiveness of glove changing in reducing the incidence of post-operative infections in Vietnam. Specifically, the aims of this study are 1) to evaluate whether changing gloves during CS reduces complications and SSI, and 2) to identify other factors that are associated with complications and SSI.

Inclusion criteria

• pregnant women were 18 years old or higher;
• pregnant women had cesarean surgery performed at Hung Vuong hospital;
• pregnant women lived close to Ho Chi Minh city and agreed to return for postpartum care one-month post-surgery.

Exclusion criteria

• pregnant women had fever during labor;
• pregnant women had systemic infectious conditions;
• pregnant women had surgical site infection SSI or sexually infectious conditions;
• pregnant women had ongoing internal conditions such as pre-eclampsia, severe anemia, American Society of Anesthesiologists (ASA) ≥ 3, New York Heart Association (NYHA) class 3 or above, pulmonary edema, or severe asthma.