Kalafong Provincial Tertiary Hospital
Pretoria, Gauteng, South Africa
NCT Number: NCT05632705
Randomised trial comparing the efficacy and feasibility of using a sterile closing pack to reduce postpartum sepsis
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Notify Me18 year and older
Female
Interventional
Not applicable
Pretoria, Gauteng, South Africa
Pregnant patients meeting the inclusion criteria undergoing elective or emergency caesarean section will be eligible for recruitment. Patients will be randomised into two arms. In the control arm sheath and skin closure will be performed with the instruments used to perform the caesarean section, as per the current standard of care. In the intervention arm, after suturing the uterine incision and obtaining hemostasis and before commencing closure of the sheath and skin, the surgical team (obstetrician, assistant and scrub sister) will don clean sterile gloves, open clean sterile linen to drape on top of the existing linen and open a pack of clean sterile instruments to close the sheath and skin.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
A closing pack, new sterile gloves and new sterile drapes will be used when commencing closure of the sheath and skin
Time frame: Seven days post-operatively
Incidence of surgical site infections in both arms
Time frame: Seven days post-operatively
Incidence of postpartum endometritis in both arms
Time frame: At the time of caesarean section
Assess the availability as well as use of the sterile closing pack
University of Pretoria
Other
A Randomised Trial to Evaluate the Efficacy and Feasibility of a Closing Pack to Reduce the Rate of Surgical Site Infection Following Caesarean Section
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