OBJECTIVE: The objective of the study was to determine whether vaginal preparation with povidone iodine before cesarean delivery decreased the risk of postoperative maternal morbidities. STUDY DESIGN: The design of the study was a randomized, controlled trial in women undergoing cesarean delivery with subjects assigned to have apreoperative vaginal cleansing with povidone iodine or to a standard care group (no vaginal wash). The primary outcome was a composite of postoperative fever, endometritis, sepsis, readmission, wound infection, or complication. RESULTS: There were 155 vaginal cleansing subjects and 145 control subjects. Overall, 9.0% developed the composite outcome, with fewer women in the cleansing group (6.5%) compared with the control group (11.7%), although the difference was not statistically significant (relative risk, 0.55; 95% confidence interval, 0.26-1.11; P = .11). Length of surgery, being in labor, and having a dilated cervix were all associated with the composite morbidity outcome. CONCLUSION:Vaginal cleansing with povidone iodine before cesarean delivery may decrease postoperative morbidities, although the reduction is not statistically significant. Copyright 2010 Mosby, Inc. All rights reserved.
RCT Entities:
OBJECTIVE: The objective of the study was to determine whether vaginal preparation with povidone iodine before cesarean delivery decreased the risk of postoperative maternal morbidities. STUDY DESIGN: The design of the study was a randomized, controlled trial in women undergoing cesarean delivery with subjects assigned to have a preoperative vaginal cleansing with povidone iodine or to a standard care group (no vaginal wash). The primary outcome was a composite of postoperative fever, endometritis, sepsis, readmission, wound infection, or complication. RESULTS: There were 155 vaginal cleansing subjects and 145 control subjects. Overall, 9.0% developed the composite outcome, with fewer women in the cleansing group (6.5%) compared with the control group (11.7%), although the difference was not statistically significant (relative risk, 0.55; 95% confidence interval, 0.26-1.11; P = .11). Length of surgery, being in labor, and having a dilated cervix were all associated with the composite morbidity outcome. CONCLUSION: Vaginal cleansing with povidone iodine before cesarean delivery may decrease postoperative morbidities, although the reduction is not statistically significant. Copyright 2010 Mosby, Inc. All rights reserved.
Authors: Mauricio La Rosa; Victoria Jauk; George Saade; Kim Boggess; Sherri Longo; Erin A S Clark; Sean Esplin; Kirsten Cleary; Ronald Wapner; Kellett Letson; Michelle Y Owens; Sean Blackwell; Jeff M Szychowski; William W Andrews; Alan T Tita Journal: Obstet Gynecol Date: 2018-08 Impact factor: 7.661
Authors: Kara M Rood; Irina A Buhimschi; Joseph A Jurcisek; Taryn L Summerfield; Guomao Zhao; William E Ackerman; Weiwei Wang; R Wolfgang Rumpf; Stephen F Thung; Lauren O Bakaletz; Catalin S Buhimschi Journal: Sci Rep Date: 2018-06-08 Impact factor: 4.379