A Comparison of Surgical Preparations and Wound Infection Rates for Elective Cesarean Sections
A Comparison of Surgical Preparations and Wound Infection Rates for Elective Cesarean Sections
The purpose of this study is to find out if chlorhexidine gluconate solution is better at
 reducing the rate of wound infection after cesarean section compared to povidone-iodine.
Wound infection is a universal potential morbidity to any type of surgery. Over the years
 many studies have been completed to evaluate ways to decrease this morbidity. Recent
 literature has looked at different types of surgical solutions used in pre-operative
 cleansing. Chlorhexidine and povidone-iodine are two standard surgical prep solutions used on
 a global scale. The most recent literature has shown that chlorhexidine has a decreased wound
 infection rate for longer surgeries. Cesarean section, as a surgical time, varies from 20 -
 60 minutes. There has been no known literature regarding wound infection rates using these
 two solutions in elective cesarean sections. This trial will review the rates of wound
 infection using chlorhexidine and povidone-iodine during elective cesarean section and
 determine if there is any statistically significant difference between the two solutions. The
 results could potentially decrease wound infection rates, decrease morbidity, decrease
 hospital length of stay, and help to guide further surgical management.
Inclusion Criteria:

 -  Age >19 years

 -  Gestational age > 37 weeks

 -  Booked elective cesarean section

 Exclusion Criteria:

 -  Gestational age < 37 weeks

 -  Premature rupture of membranes

 -  Onset of labor prior to procedure

 -  Evidence of maternal sepsis; maternal fever > 38.5C

 -  LSCS for emergency issues: non-reassuring fetal status, placental abruption, failed
 induction