The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection
Objective: To evaluate the effect of preoperative vaginal antiseptic cleansing with Povidone-iodine on the occurrence of post-caesarean section infectious morbidity. Methodology: A single-blind randomized controlled study of 180 women who had preoperative vaginal preparation with povidone-iodine...
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| Format: | Article |
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Babcock Medical Society
2024-12-01
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| Series: | Babcock University Medical Journal |
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| Online Access: | http://bumj.babcock.edu.ng/index.php/bumj/article/view/506 |
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| author | Ayodeji Emmanuel Agbana TOLA YINKA BAKARE Julius Kolajo Dare Muideen Gbenga Adesola Hafeez Ayotunde salawu Adebunmi Olarinoye Adegboyega Adisa Fawole |
| author_facet | Ayodeji Emmanuel Agbana TOLA YINKA BAKARE Julius Kolajo Dare Muideen Gbenga Adesola Hafeez Ayotunde salawu Adebunmi Olarinoye Adegboyega Adisa Fawole |
| author_sort | Ayodeji Emmanuel Agbana |
| collection | DOAJ |
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Objective: To evaluate the effect of preoperative vaginal antiseptic cleansing with Povidone-iodine on the occurrence of post-caesarean section infectious morbidity.
Methodology: A single-blind randomized controlled study of 180 women who had preoperative vaginal preparation with povidone-iodine before emergency CS at the University of Ilorin teaching hospital during the study period, The primary outcome measures were fever, endometritis and wound infection. Analysis was done using Chi-square tests, t-tests and logistic regression.
Results: The study result shows that the prevalence of post-caesarean section infection morbidity was 26.5%. There was a statistically significant difference in educational level attained and social class (p<0.001) between both groups. The incidence of post-caesarean infection was significantly lower among the subjects compared to the controls (16.3% vs.36.6%,p-0.003). Using univariate and multivariate binary logistic regression, PVP-I use and chorioamnionitis remain significant independent predictors of infectious morbidity. PVP-I is associated with lesser odds (OR; 0.307) while those with chorioamnionitis are eight times more likely to have a postoperative infection (p-0.006).
Conclusion: The incidence of post-caesarean fever and endometritis was significantly reduced in those scrubbed with both abdominal and vaginal Povidone-iodine compared to those who had standard abdominal scrub alone for emergency caesarean section. Vaginal cleaning with Povidone-iodine is safe.
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| format | Article |
| id | doaj-art-fdc9981b31df4d61a78e925605e8b62a |
| institution | Kabale University |
| issn | 2465-6666 2756-4657 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Babcock Medical Society |
| record_format | Article |
| series | Babcock University Medical Journal |
| spelling | doaj-art-fdc9981b31df4d61a78e925605e8b62a2025-01-05T18:31:35ZengBabcock Medical SocietyBabcock University Medical Journal2465-66662756-46572024-12-017210.38029/babcockuniv.med.j..v7i2.506The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infectionAyodeji Emmanuel Agbana0TOLA YINKA BAKARE1Julius Kolajo Dare2Muideen Gbenga Adesola3Hafeez Ayotunde salawu4Adebunmi Olarinoye5Adegboyega Adisa Fawole6Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital (UITH), Ilorin, Kwara State, NigeriaDepartment of Obstetrics and Gynaecology, Bowen University, Iwo, Osun State, NigeriaDepartment of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital (UITH), Ilorin, Kwara State, NigeriaDepartment of Obstetrics and Gynaecology, Kwara State Specialist Hospital, Ilorin, Kwara StateDepartment of Obstetrics and Gynaecology, Kwara State Specialist Hospital, Ilorin, Kwara StateDepartment of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital (UITH), Ilorin, Kwara State, NigeriaDepartment of Obstetrics and Gynaecology, Kwara State Specialist Hospital, Ilorin, Kwara State Objective: To evaluate the effect of preoperative vaginal antiseptic cleansing with Povidone-iodine on the occurrence of post-caesarean section infectious morbidity. Methodology: A single-blind randomized controlled study of 180 women who had preoperative vaginal preparation with povidone-iodine before emergency CS at the University of Ilorin teaching hospital during the study period, The primary outcome measures were fever, endometritis and wound infection. Analysis was done using Chi-square tests, t-tests and logistic regression. Results: The study result shows that the prevalence of post-caesarean section infection morbidity was 26.5%. There was a statistically significant difference in educational level attained and social class (p<0.001) between both groups. The incidence of post-caesarean infection was significantly lower among the subjects compared to the controls (16.3% vs.36.6%,p-0.003). Using univariate and multivariate binary logistic regression, PVP-I use and chorioamnionitis remain significant independent predictors of infectious morbidity. PVP-I is associated with lesser odds (OR; 0.307) while those with chorioamnionitis are eight times more likely to have a postoperative infection (p-0.006). Conclusion: The incidence of post-caesarean fever and endometritis was significantly reduced in those scrubbed with both abdominal and vaginal Povidone-iodine compared to those who had standard abdominal scrub alone for emergency caesarean section. Vaginal cleaning with Povidone-iodine is safe. http://bumj.babcock.edu.ng/index.php/bumj/article/view/506PreoperativeVaginal preparationPovidone-IodinePost caesarean Infection |
| spellingShingle | Ayodeji Emmanuel Agbana TOLA YINKA BAKARE Julius Kolajo Dare Muideen Gbenga Adesola Hafeez Ayotunde salawu Adebunmi Olarinoye Adegboyega Adisa Fawole The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection Babcock University Medical Journal Preoperative Vaginal preparation Povidone-Iodine Post caesarean Infection |
| title | The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection |
| title_full | The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection |
| title_fullStr | The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection |
| title_full_unstemmed | The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection |
| title_short | The effect of preoperative vaginal preparation with povidone-iodine on post-caesarean section infection |
| title_sort | effect of preoperative vaginal preparation with povidone iodine on post caesarean section infection |
| topic | Preoperative Vaginal preparation Povidone-Iodine Post caesarean Infection |
| url | http://bumj.babcock.edu.ng/index.php/bumj/article/view/506 |
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