Effect of intra-operative glove changing during cesarean section on post-operative complications: a randomized controlled trial

Jonathan D. Scrafford, Buvana Reddy, Colleen Rivard, Rachel Isaksson Vogel

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: To compare the rates of wound-related complications among women undergoing a cesarean section when the surgical team used intra-operative glove changing versus usual care. Methods: All women undergoing a cesarean section at a single, county hospital were randomized to usual care or intra-operative glove changing prior to abdominal closure. Participants were randomized at the time of decision for cesarean section; surgeons were not blinded to the randomization arm. The primary outcome was any wound-related complication, including wound hematoma, seroma, skin separation of at least 1 cm, wound infection, or other incisional abnormality requiring treatment within 8 weeks of surgery. To detect a reduction in the primary outcome from 17% in the control group to 9% in the intervention group with 80% power, a total of 554 women (277 per group) were required. Secondary outcomes included other infectious complications including endometritis and other superficial or deep soft tissue infections. Results: From August 2015 to November 2016, 277 women were randomized to usual care and 276 women were randomized to intra-operative glove changing. The two groups were well balanced in terms of demographic data, comorbid conditions and surgical characteristics. Intra-operative glove changing led to a significant decrease in composite wound complications from 13.6% in the control group to 6.4% in the intervention group (p = 0.008). Conclusion: Intra-operative glove changing prior to abdominal closure during cesarean section significantly reduced the incidence of post-operative wound complications.

Original languageEnglish (US)
Pages (from-to)1449-1454
Number of pages6
JournalArchives of Gynecology and Obstetrics
Volume297
Issue number6
DOIs
StatePublished - Jun 1 2018

Keywords

  • Cesarean section
  • Complications
  • Gloves
  • Infection
  • Obstetrics
  • Wound

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