The Impact of Changing Gloves During Cesarean Section on Post-operative Wound Complication
The Impact of Changing Gloves During Cesarean Section on Post-operative Wound Complication
The investigators aim to compare the effect of changing their outer surgical gloves with a
 new pair of sterile gloves just prior to abdominal closure versus no intervention in the
 incidence of postoperative wound infections in pregnant women undergoing Caesarean section.
 The primary outcome is the incidence of any post cesarean wound related complication,
 including wound seroma, skin separation of at least 1cm, wound infection, or other incisional
 abnormality requiring treatment within 8 weeks of surgery, while the secondary outcomes are
 Postoperative fever: defined as greater than 38 degrees Celsius or post cesarean
 endometritis: defined as a clinical diagnosis, usually involving fever, uterine fundal
 tenderness, or purulent lochia requiring antibiotic therapy or Combined wound complications
 and endometritis.
The investigators conduct a prospective randomized study at Department of Obstetrics and
 Gynecology, AFHSR since April 2019 till October 2019, after approval of the study protocol by
 the Local Ethical Committee.

 Patients undergoing Both elective and emergency cesarean sections and Patients received
 standard antibiotic prophylaxis within two hours from the procedure or during the procedure
 in emergency case. All patients received appropriate pre-operative antibiotics,
 chlorohexidine skin prep except where allergies prohibited, and hair clipping as indicated.

 The patients (600) are divided into two groups, Group A (300) during CS the surgical team
 change their outer surgical gloves with a new pair of sterile gloves just prior to abdominal
 closure, while in Group B (300) no intervention
Inclusion Criteria:

 1. Both elective and emergency cesarean sections.

 2. Patient received standard antibiotic prophylaxis within two hours from the procedure
 or during the procedure in emergency case.

 Exclusion Criteria:

 1. Women with active infection during the procedure.

 2. Women did not receive the standard preoperative antibiotic prophylaxis.

 3. Women with diagnosis of chorioamnionitis.