Chlorhexidine Gluconate vs Povidone-Iodine Vaginal Cleansing Solution Prior to Cesarean Delivery
NCT02915289 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1114
Last updated 2018-09-14
Summary
Endometritis, an infection of the uterus in the postpartum period, has been shown to complicate the postoperative course of a cesarean delivery in 6% to 27% of cases. Vaginal cleansing prior to cesarean delivery has been shown to minimize the presence of micro-organisms and risk of infection. Although povidone-iodine is the most commonly used anti-septic for surgical preparation of the vagina, it is not an ideal agent due to it's diminished efficacy in acidic vaginal pH and in the presence of blood. Chlorhexidine gluconate, on the other hand, has demonstrated superior disinfectant properties in several clinical trials, as compared to povidone iodine. In this randomized, comparator controlled, study the investigators will be comparing chlorhexidine gluconate vs povidone iodine for intrapartum vaginal preparation in women undergoing non-emergent cesarean delivery.
Conditions
- Wound Infection
- Complication, Postoperative
Interventions
- PROCEDURE
-
Povidone Iodine
Vaginal preparation with 10% povidone iodine prior to non-emergent cesarean section.
- PROCEDURE
-
Chlorhexidine gluconate
Vaginal preparation with 4% chlorhexidine gluconate prior to non-emergent cesarean section.
Sponsors & Collaborators
-
Richmond University Medical Center
lead OTHER
Principal Investigators
-
Nisha Lakhi, MD · Richmond University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-12-31
- Primary Completion
- 2018-04-30
- Completion
- 2018-05-31
Countries
- United States
Study Locations
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