WHO recommendation on vaginal preparation with antiseptic agents for women undergoing caesarean section / World Health Organization.

Format:

Book

Author/Creator:

World Health Organization, author.

Language:

English

Subjects (All):

Vaginal birth after cesarean.

Physical Description:

1 online resource (ix, 39 pages)

Edition:

1st ed.

Place of Publication:

[Place of publication not identified] : World Health Organization, [2021]

Summary:

While the evidence on vaginal preparation before caesarean section was largely derived from trials using povidone-iodine, benefit was demonstrated overall for any antiseptic (either povidone-iodine or chlorhexidine gluconate) versus no antiseptic. Included trials used varying concentrations of chlorhexidine gluconate (0.05% to 0.25%) or povidone-iodine (1% to 10%), and the base (aqueous or alcohol) was not described. However, the Guideline Development Group agreed that alcohol-based antiseptic solutions should not be used for vaginal preparation because of concerns around irritation of mucosa. This recommendation pertains to all women undergoing caesarean section regardless of their baseline risk of infectious morbidity following surgery (i.e. for caesarean section in women before or during labour, and women with intact or ruptured membranes). Whilst available trials were not clear on the timing of vaginal preparation relative to the caesarean section, the Guideline Development Group suggested that vaginal preparation should be performed as close to the start of caesarean section as possible (e.g. directly following preoperative urinary bladder catheterization) to minimize the woman's discomfort.

Contents:

Intro

_Hlk70084403

_Hlk70084436

_Hlk70084465

_Hlk70084485

_Hlk70084513

_Hlk70084535

_Hlk70084556

_Hlk70084576

_Hlk70084595

_Hlk70084613

_Hlk70084762

_Hlk70084798

_Hlk70084821

_Hlk70084840

_Hlk70086346

_GoBack

_GoBack.

Notes:

Description based on: online resource; title from PDF information screen (WHO, viewed October 22, 2022).