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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 10, October 2024 | Popularity: 5.5 / 10

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Prevention of Post Operative Infection in Obese Women Undergoing Emergency LSCS: Role of Surgical Bundle and Vaginal Cleaning, A Prospective Randomised Interventional Study

Dr. Shailan P Hanchinal, Dr. Veerendra Kumar CM, Dr. Aparna Prakash, Dr. Vinutha V

Abstract: Background: Surgical site infections (SSIs) are a common complication following lower segment cesarean section (LSCS), particularly in obese women. This study aimed to evaluate the efficacy of a surgical bundle and vaginal cleaning in reducing post - operative infections in obese women undergoing emergency LSCS. Objectives: To assess the role of a surgical bundle with vaginal cleaning, in preventing SSIs in obese women undergoing emergency LSCS. Method: A prospective, randomized interventional study conducted at the Department of Obstetrics and Gynaecology, Ballari Institute of Medical Sciences and Research center, Ballari, (formerly VIMS) over a 6 - month period. A total of 100 women undergoing emergency LSCS with a BMI > 30 kg/m? were included. The participants were randomized into two groups: Intervention Group (n=50) received the surgical bundle and vaginal cleaning. Control Group (n=50) received only surgical bundle without vaginal cleaning. Participants were randomly assigned to either the intervention or control group. Data on demographics, duration of hospital stay, and post - operative wound conditions were collected and analyzed. The primary outcome was the incidence of SSIs, assessed using the Southampton criteria. Results: The intervention group had a significantly shorter hospital stay (4.34 days vs.6.40 days, p = 0.000001) and fewer post - operative wound complications, including elevated temperature (p = 0.016), redness (p = 0.037), wound discharge (p = 0.004), and wound dehiscence (p = 0.042). Edema, Pain and need for analgesia did not differ significantly between the groups. Conclusion: The application of a surgical bundle and vaginal cleaning significantly reduced the incidence of SSIs in obese women undergoing emergency LSCS. The interventions also led to a shorter duration of hospital stay, suggesting that these practices should be adopted to improve outcomes in high - risk patients.

Keywords: Surgical site infections, LSCS, cesarean section, surgical bundle, vaginal cleaning, obesity, post - operative infections

Edition: Volume 13 Issue 10, October 2024

Pages: 295 - 299

DOI: https://www.doi.org/10.21275/SR241002111941

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