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The goal of this clinical trial is to learn if antiseptic washing prior to skin closure during cesarean section reduces rates of surgical site infection.
intraoperative washing is a common practice in other surgical fields and several studies have shown efficacy in reducing postoperative infection rates. no randomized control trial has tested this intervention during cesarean section.
The main questions we aim to answer are:
Does subcutaneous antiseptic washing reduce the rates of surgical site infection? Does antiseptic washing improve scar healing? Does antiseptic washing reduce hospital stay, postpartum fever rates and readmission cases?
Researchers will compare subcutaneous antiseptic washing to no intervention to see if surgical site infection rates reduce
Participants will:
consent to participate in the trial Visit the postpartum clinic 30 days after surgery
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subcutan lavage | Active Comparator | Subcutaneous washing with antiseptic solution: Chlorhexidine gluconate 0.2% |
|
| no lavage | Placebo Comparator | No subcutaneous washing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Subcutaneous washing | Procedure | subcutaneous washing with chlorhexidine gluconate prior to skin closure |
|
| Measure | Description | Time Frame |
|---|---|---|
| surgical site infection | SSI infection rates | 30 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| hospital stay | length of hospital stay | 30 days after surgery |
| wound healing | assessment of the healing according to Southampton criteria: presence of inflammation, erythema or discharge |
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Inclusion Criteria:
Exclusion Criteria:
pregnant women undergoing cesarean delivery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Recruiting | Jerusalem | Israel |
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| ID | Term |
|---|---|
| D013530 | Surgical Wound Infection |
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| no subcutaneous washing | Procedure | no washing |
|
| 30 days after surgery |
| postpartum fever | fever recording | 30 days after surgery |
| D013568 |
| Pathological Conditions, Signs and Symptoms |