Pre-operative Versus Post-operative Vaginal Cleansing With Chlorhexidine Solution in Prevention Post-Cesarean Section Infection

NCT ID: NCT06176573

Last Updated: 2023-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2021-08-31

Brief Summary

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Maternal infectious morbidity is a common complication of cesarean delivery, especially in a poor recourse setting like ours. This study was done to compare the effectiveness of preoperative vaginal cleansing with immediate postoperative vaginal cleansing with chlorhexidine solution in preventing post-cesarean infectious morbidities. Randomized trial involving 120 consented women who had elective or emergency cesarean sections at term, 60 in each group. Group 1 had preoperative while group 2 had postoperative vaginal cleansing with 1% chlorhexidine.

Detailed Description

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Background: Maternal infectious morbidity is a common complication of cesarean delivery, especially in a poor recourse setting like ours. This study was done in a tertiary hospital in Abakaliki, Ebonyi State, Southeast Nigeria over a period of 5 months. The State is inhabited mainly by rural farmers and petty traders. Literacy is low and poverty is common with poor maternal health indices.

Aim: To compare the effectiveness of preoperative vaginal cleansing with immediate postoperative vaginal cleansing with chlorhexidine solution in preventing post-cesarean infectious morbidities.

Method: Randomized trial involving 120 consented women who had elective or emergency cesarean sections at term, 60 in each group. Group 1 had preoperative while group 2 had postoperative vaginal cleansing with 1% chlorhexidine. Research Randomizer software was used to generate 120 numbers. Sixty numbers were randomly generated from a pool of 120 numbers and were assigned to group 1 while the remaining 60 numbers were automatically assigned to group 2. Both groups received antibiotics and anterior abdominal wall scrubbing. There were monitored for symptoms and signs of endometritis, wound infection and pyrexia till discharge.

Conditions

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Post Cesarean Infectious Morbidity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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First arm - Pre-operative vaginal cleansing with chlorhexidine

Had vaginal cleansing with chlorhexidine prior to cesarean section and were monitored for infectious morbidity.

Group Type ACTIVE_COMPARATOR

Chlorhexidine

Intervention Type PROCEDURE

Pre-operative and post-operative vaginal cleansing.

Second arm - Post-operative vaginal cleansing with chlorhexidine

Had vaginal cleansing with chlorhexidine after cesarean section and were monitored for infectious morbidity.

Group Type ACTIVE_COMPARATOR

Chlorhexidine

Intervention Type PROCEDURE

Pre-operative and post-operative vaginal cleansing.

Interventions

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Chlorhexidine

Pre-operative and post-operative vaginal cleansing.

Intervention Type PROCEDURE

Other Intervention Names

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Antibiotic prophylaxis

Eligibility Criteria

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Inclusion Criteria

* Those that gave consent
* Term pregnancy

Exclusion Criteria

* Refusal of consent
* Antepartum hemorrhage
* Cord prolapse
* Fetal distress
* Anemia in pregnancy
* Presence of fever and chorioamnionitis
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Federal Teaching Hospital Abakaliki

OTHER_GOV

Sponsor Role lead

Responsible Party

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Nwali Matthew Igwe

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Alex Ekwueme Federal University Teaching Hospital

Abakaliki, Ebonyi State, Nigeria

Site Status

Countries

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Nigeria

Other Identifiers

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PVPVC2023CT

Identifier Type: -

Identifier Source: org_study_id