Caesarean Wound Dressing Removal Study

Hospital Kemaman294 enrolled

Overview

An open labelled randomised trial on the timing of wound dressing removal for emergency caesarean delivery in labour.

The trial is unblinded randomised trial on surgical wound dressing at 24 versus 48 hours after the emergency caesarean delivery in labour. The primary outcome is the prevalence of wound complications (hematoma, seroma, infection/ dehiscence) The secondary objectives are the maximum pain after the surgery (in ward) and the timing of the patient's first bath after the surgery

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

294

Conditions

Surgical Wound Surgical Wound Infection Cesarean Section Complications

Interventions

Cesarean wound dressing removalPROCEDURE

The cesarean wound dressing is to be removed and the surgical wound exposed

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 18-50 2. Lower segment caesarean delivery 3. Primary or repeat caesarean delivery 4. Caesarean section in active phase of labour. 5. Regional anaesthesia Exclusion Criteria: 1. Upper segment or classical caesarean delivery 2. Massive postpartum haemorrhage \> 1.5 litre 3. Pre-delivery chorioamnionitis 4. Skin closure using interrupted suture 5. Acquired or congenital coagulation disorder 6. Associated medical or obstetric condition requiring prolonged hospital stay after delivery such as severe pre-eclampsia, uncontrolled diabetes mellitus, cardiac disease, systemic infection. 7. Inability to give consent

Locations (1)

Hospital Kemaman

Kampong Kemaman, Terengganu, Malaysia

Outcomes

Primary Outcomes

Cesarean wound complication

Hematoma, seroma, wound infection, wound dehiscence

Time frame: 30 days

Secondary Outcomes

Pain control

Perceived pain after caesarean according to Visual Analogue Scale (0/10 = no pain; 10/10 = worst pain)

Time frame: 48 hours

Self hygiene

Timing of first bath after surgery

Time frame: 48 hours

Data from ClinicalTrials.gov

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