The Efficacy of the Vaginal Wash With Povidone Iodine Solution Before Caesarean Section to Prevent Infectious Morbidities in the Patients of Eastern India

Objectives: To evaluate the efficacy of the vaginal wash with povidone iodine solution before caesarean section (CS) to prevent infectious morbidities in the patients of eastern India. This investigation was a prospective observational st Materials and Methods: udy for the period of 16 months from January 2019 to June 2020. We enrolled 149 pregnant mothers in which 9 cases were excluded and finally 140 mothers considered. The total samples were equally distributed (n = 70 in each) for group A (povidone iodine solution used before CS) and group B (povidone iodine solution not used) in our setting. The demo-socio profiles and feto-maternal parameters were studied. Post-operative endometritis Results: between the groups was statistically significant (P=0.016). Comparison regarding age, religion, education, socio-economic status, BMI, gravida, parity and number of previous CS, indication of CS, period of gestation, pre- and post-operative Hb, fall in Hb, post-operative fever, birth weight, APGAR score (1 min. and 5 mins.), NICU admission required did not obtain significant changes. This s Conclusion: tudy demonstrated that, for endometritis, vaginal preparation with a 5% povidone iodine solution before CS had a beneficial effect, especially for women who had intact membranes at the time of CS.