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

dc.authorid0000-0001-8879-9299
dc.contributor.authorKanza Gül, Derya
dc.date.accessioned2021-02-05T08:27:16Z
dc.date.available2021-02-05T08:27:16Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractObjective: The present study was designed to determine the effect of vaginal cleansing performed with saline solution or povidone-iodine 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.
dc.identifier.citationKanza Gül, D. (2021). 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. Marmara Medical Journal, 34(1), 33-39. https://dx.doi.org/10.5472/marumj.866504
dc.identifier.doi10.5472/marumj.866504
dc.identifier.endpage39
dc.identifier.issn1019-1941
dc.identifier.issn1309-9469
dc.identifier.issue1
dc.identifier.scopusqualityQ4
dc.identifier.startpage33
dc.identifier.urihttps://dx.doi.org/10.5472/marumj.866504
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6523
dc.identifier.volume34
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherMarmara University
dc.relation.ispartofMarmara Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCaesarean Section
dc.subjectMaternal Morbidity
dc.subjectPostoperative Infection
dc.subjectVaginal Cleansing
dc.subjectSaline Solution
dc.subjectPovidone-Iodine
dc.titleThe 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
dc.typeArticle

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