A comparison of the rate of surgical site infections after cesarean section depending on the type of suture used for subcutaneous closure-continuous versus interrupted.
Patients at term that are candidates for elective cesarean section will receive an explanation regarding the study and sign informed consent. Patients will then be divided randomly to one of 2 treatment groups based on the type of subcutaneous tissue closure: 1. Interrupted sutures. 2. Continuous sutures. Information regarding medical and obstetric history will be collected for each patient.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
1,238
Subcutaneous tissue closure with 2-0 vicryl suture.
Rambam healthcare campus
Haifa, Israel
Surgical site infection rate.
Surgical site infection rate.
Time frame: From admission up to 6 weeks postpartum.
Rate of re-admission due to surgical site infection.
rate of re-admission within 6 weeks postpartum due to surgical site infection.
Time frame: From admission up to 6 weeks postpartum.
Rate of postoperative febrile morbidity.
Rate of maternal body temperature \> 38°C.
Time frame: From admission up to 6 weeks postpartum.
Rate of maternal fever.
Rate of maternal fever in degrees celsius.
Time frame: From admission up to 6 weeks postpartum.
Duration of maternal fever.
Duration of maternal fever in days.
Time frame: From admission up to 6 weeks postpartum.
Rate of antibiotic use for the treatment of surgical site infection.
Rate of antibiotic use for the treatment of surgical site infection.
Time frame: From admission up to 6 weeks postpartum.
Cesraean section-to-surgical site infection time interval.
Cesraean section-to-surgical site infection time interval in days.
Time frame: From admission up to 6 weeks postpartum.
Rate of bacteremia.
Rate of bacteremia.
Time frame: From admission up to 6 weeks postpartum.
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Rate of sepsis.
Rate of sepsis.
Time frame: From admission up to 6 weeks postpartum.
Post-operative duration of hospitalization.
Post-operative duration of hospitalization in days.
Time frame: From admission up to 6 weeks postpartum.
Postoperative pain.
Postoperative pain based on the visual analogue scale score ranging from 0-10.
Time frame: From admission up to 6 weeks postpartum.
Rate of postoperative anemia.
Rate of a hemoglobin level of under 10 gr/dL
Time frame: From admission up to 6 weeks postpartum.
Blood transfusion rates.
Blood transfusion rates (recommended to patients with a postpartum hemoglobin level of under 7 gr/dL or between 7-8 gr/dL if anemia related symptoms are present)
Time frame: From admission up to 6 weeks postpartum.
Breastfeeding rates.
Breastfeeding rates.
Time frame: From admission up to 6 weeks postpartum.
rate of voiding problems.
Rate of need for either intermittent catheterization or 24-hour foley insertion to void
Time frame: From admission up to 6 weeks postpartum.
Venous thromboembolism rates.
Venous thromboembolism rates.
Time frame: From admission up to 6 weeks postpartum.
Rate of admission to intensive care unit.
Rates of admission to intensive care unit
Time frame: From admission up to 6 weeks postpartum.
Maternal death rate
Maternal death rate.
Time frame: From admission up to 6 weeks postpartum.