Post Cesarian Section Wound Infections At Emergency Room

Al-Azhar University

Status: Completed

Conditions: Surgical Wound Infection

Treatments: Procedure: Cesarean delivery

Study type: Observational

Funder types: Other

Identifiers

NCT06491381

obstet1724

Details and patient eligibility

About

The goal of this observational study is to compare the incidence of post-cesarean section wound infections between emergency and elective cesarean deliveries at El-hussien Hospital. The main questions it aims to answer are:

Is there a difference in surgical site infection rates between emergency and elective cesarean sections? What are the other outcome measures associated with emergency versus elective cesarean deliveries?

Participants will be 220 patients undergoing cesarean section, divided into two groups:

110 patients undergoing emergency cesarean delivery in the Emergency Unit 110 patients undergoing elective cesarean delivery

Researchers will compare the emergency cesarean group to the elective cesarean group to see if there are differences in surgical site infection rates and other relevant outcome measures.

Enrollment: 220 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age > 18
• Managed with elective CS or Emergency CS
• BMI < 25 Kg/m2

Exclusion criteria

• Immunodeficiency or diabetes.
• Premature rupture of membrane
• Bleeding disorder.
• Previous uterine surgery except previous CS.
• Malignancy.
• Refusal to participate.

Trial design

220 participants in 2 patient groups

Elective Cesarean Delivery

Description:

This group will consist of 110 patients who are scheduled for planned cesarean deliveries at El-hussien Hospital. These patients will have non-emergency indications for cesarean section, such as previous cesarean delivery, breech presentation, maternal request, or other medical indications that allow for scheduled surgery. Participants in this group will undergo standard pre-operative preparation and receive routine post-operative care as per hospital protocols. Their surgical site will be monitored for signs of infection during their hospital stay and follow-up period.

Treatment:

Procedure: Cesarean delivery

Emergency Cesarean Delivery

Description:

This group will consist of 110 patients who undergo unplanned, emergency cesarean deliveries at the Emergency Unit of El-hussien Hospital. Indications for emergency cesarean section may include, but are not limited to, fetal distress, placental abruption, cord prolapse, failed induction of labor, or arrest of labor progression. Patients with premature rupture of membranes will be excluded from this group due to their increased risk of infection. Participants in this group will receive urgent pre-operative preparation and post-operative care as per hospital emergency protocols. Their surgical sites will be monitored for signs of infection during their hospital stay and follow-up period, similar to the elective group.

Treatment:

Procedure: Cesarean delivery