Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections
M. Ahmed, A., El-Kurdy, R., M. Dwedar, L. (2022). Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections. EKB Journal Management System, 13(1), 864-874. doi: 10.21608/ejhc.2022.222511
Amany M. Ahmed; Rania El-Kurdy; Lawahez M. Dwedar. "Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections". EKB Journal Management System, 13, 1, 2022, 864-874. doi: 10.21608/ejhc.2022.222511
M. Ahmed, A., El-Kurdy, R., M. Dwedar, L. (2022). 'Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections', EKB Journal Management System, 13(1), pp. 864-874. doi: 10.21608/ejhc.2022.222511
M. Ahmed, A., El-Kurdy, R., M. Dwedar, L. Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections. EKB Journal Management System, 2022; 13(1): 864-874. doi: 10.21608/ejhc.2022.222511

Effect of Pre-elective Cesarean Section Vaginal Cleansing using Povidone-Iodine versus Chlorhexidine on the Incidence of Post-Cesarean Infections

Egyptian Journal of Health Care
Article 59, Volume 13, Issue 1, March 2022, Page 864-874  XML PDF (361.19 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2022.222511
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Authors
Amany M. Ahmed1; Rania El-Kurdy2; Lawahez M. Dwedar1
1Lecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt
2Lecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt.
Abstract
Context: The morbidity and mortality rates associated with post-cesarean section (CS) infectious
complications prove to be a burden for mothers, their infants, and the healthcare system. Aim: This
study aimed to assess the effect of pre-elective cesarean section vaginal cleansing using povidone
iodine versus chlorhexidine on the incidence of post-cesarean infections. Methods: This
randomized controlled trial involved a simple random sample of 90 women undergoing elective CS
who were allocated to either the control, povidone-iodine, or chlorhexidine group. The study was
conducted at the Obstetrics and Gynecology Operative Department of Kafrelsheikh University
Hospital, Kafrelsheikh Governorate, Egypt. Data were collected using two tools: Structured
interview schedule and post-CS infection checklist. Results: The povidone-iodine group had a
significantly lower rate of post-CS fever, endometritis, and wound infection than the control group
(p = 0.045, 0.049, and 0.045, respectively). Furthermore, the control group had a significantly
higher rate of post-CS fever, endometritis, and wound infection than the chlorhexidine group (p =
0.011, 0.028, and 0.031, respectively). In contrast, no statistically significant difference was
observed in the rate of post-CS fever, endometritis, and wound infection between the povidone
iodine and chlorhexidine groups (p = 0.300, 0.128, and 0.447, respectively). Conclusion: Vaginal
cleansing using either povidone-iodine or chlorhexidine immediately before elective CS
significantly reduces the rate of post-cesarean infections. Recommendation: This simple and cost
effective vaginal cleansing method should be applied by nurses before elective CS.
Keywords
vaginal cleansing; elective cesarean section; povidone-iodine; chlorhexidine; postcesarean infections
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