- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05458518
Caesarean Wound Dressing Removal Study (Cesarean)
July 12, 2022 updated by: Zahar Azuar Zakaria, Hospital Kemaman
A Randomised Controlled Trial on the Timing of Wound Dressing Removal After Emergency Caesarean Delivery
An open labelled randomised trial on the timing of wound dressing removal for emergency caesarean delivery in labour.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
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
Enrollment (Anticipated)
294
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Zahar A Zakaria, MD
- Phone Number: 6098513333
- Email: zazuarz@yahoo.co.uk
Study Contact Backup
- Name: Mazrin N Mohd Ali, MD
- Phone Number: 6098513333
- Email: mazrin_0202@yahoo.com
Study Locations
-
-
Terengganu
-
Kampong Kemaman, Terengganu, Malaysia, 24000
- Recruiting
- Hospital Kemaman
-
Contact:
- Zahar A Zakaria, MD
- Phone Number: 6098513333
- Email: zazuarz@yahoo.co.uk
-
Contact:
- Mazrin M Mohd Ali
- Phone Number: 6098513333
- Email: mazrin_0202@yahoo.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 50 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Age 18-50
- Lower segment caesarean delivery
- Primary or repeat caesarean delivery
- Caesarean section in active phase of labour.
- Regional anaesthesia
Exclusion Criteria:
- Upper segment or classical caesarean delivery
- Massive postpartum haemorrhage > 1.5 litre
- Pre-delivery chorioamnionitis
- Skin closure using interrupted suture
- Acquired or congenital coagulation disorder
- Associated medical or obstetric condition requiring prolonged hospital stay after delivery such as severe pre-eclampsia, uncontrolled diabetes mellitus, cardiac disease, systemic infection.
- Inability to give consent
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Dressing removal at 24 hours
The wound dressing will be removed 24 hours after emergency cesarean delivery
|
The cesarean wound dressing is to be removed and the surgical wound exposed
|
Placebo Comparator: Dressing removal at 48 hours
The wound dressing will be removed 48 hours after emergency cesarean delivery
|
The cesarean wound dressing is to be removed and the surgical wound exposed
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cesarean wound complication
Time Frame: 30 days
|
Hematoma, seroma, wound infection, wound dehiscence
|
30 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain control
Time Frame: 48 hours
|
Perceived pain after caesarean according to Visual Analogue Scale (0/10 = no pain; 10/10 = worst pain)
|
48 hours
|
Self hygiene
Time Frame: 48 hours
|
Timing of first bath after surgery
|
48 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Peleg D, Eberstark E, Warsof SL, Cohen N, Ben Shachar I. Early wound dressing removal after scheduled cesarean delivery: a randomized controlled trial. Am J Obstet Gynecol. 2016 Sep;215(3):388.e1-5. doi: 10.1016/j.ajog.2016.03.035. Epub 2016 Mar 25.
- Kilic GS, Demirdag E, Findik MF, Tapisiz OL, Sak ME, Altinboga O, Sak S, Unlu BS, Evsen MS, Zeybek B, Borahay M, Kuo YF. Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial. J Obstet Gynaecol. 2021 Apr;41(3):348-352. doi: 10.1080/01443615.2020.1736015. Epub 2020 Apr 21.
- Tan PC, Rohani E, Lim M, Win ST, Omar SZ. A randomised trial of caesarean wound coverage: exposed versus dressed. BJOG. 2020 Sep;127(10):1250-1258. doi: 10.1111/1471-0528.16228. Epub 2020 Apr 16.
- Zhang T, Zhang F, Chen Z, Cheng X. Comparison of early and delayed removal of dressing following primary closure of clean and contaminated surgical wounds: A systematic review and meta-analysis of randomized controlled trials. Exp Ther Med. 2020 May;19(5):3219-3226. doi: 10.3892/etm.2020.8591. Epub 2020 Mar 11.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2022
Primary Completion (Anticipated)
June 30, 2023
Study Completion (Anticipated)
June 30, 2023
Study Registration Dates
First Submitted
July 4, 2022
First Submitted That Met QC Criteria
July 12, 2022
First Posted (Actual)
July 14, 2022
Study Record Updates
Last Update Posted (Actual)
July 14, 2022
Last Update Submitted That Met QC Criteria
July 12, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- NMRR ID-22-00321-NZM
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Surgical Wound
-
St. Borbala HospitalSemmelweis University; Department of Surgery, Jahn Ferend Dél-Pesti Kórház... and other collaboratorsTerminatedSurgical Wound | Surgical Site Infection | Wound Dehiscence, Surgical | Dehiscence of Internal Surgical WoundHungary
-
ConvaTec Inc.Not yet recruitingSurgical Wound, Recent | Trauma-related Wound | Dehiscence Wound | Surgical Wound LeakUnited States
-
Centro Hospitalar do Tâmega e SousaActive, not recruitingSurgical Wound | Surgical Wound Infection | Surgical Site Infection | Surgical Wound, Healed | Surgical Complication | Surgical Wound Dehiscence | Surgical Wound HaemorrhagePortugal
-
Molnlycke Health Care ABSyntactxNot yet recruitingSurgical Wound | Surgical Incision | Surgical Wound Dehiscence | Incision, Surgical | Surgical Wound, Recent
-
University of California, DavisCompletedSurgical Wound Cosmesis
-
Associazione Infermieristica per lo studio delle...Unknown
-
Brock Liden, DPMWithdrawnSurgical Wound, HealedUnited States
-
HITEC-Institute of Medical SciencesCompletedWound Infection | Wound Dehiscence | Wound Surgical | Wound BleedingPakistan
-
Chulalongkorn UniversityUnknownWound Heal | Wound Surgical | Donor Site ComplicationThailand
-
Abouqir General HospitalAlexandria UniversityCompletedSurgical Wound Closure TechniqueEgypt
Clinical Trials on Cesarean wound dressing removal
-
Albany Medical CollegeCompletedSurgical Site InfectionUnited States
-
University of RochesterCompletedPregnancy | Cesarean SectionUnited States
-
The University of Texas Health Science Center,...CompletedPain From Free Gingival GraftUnited States
-
UPM BiomedicalsUniversity of HelsinkiCompleted
-
The University of Texas Medical Branch, GalvestonEtlik Zubeyde Hanım Women's Health Care, Training and Research Hospital; Dicle...CompletedAbdominal Wall WoundUnited States, Turkey
-
Princess Margaret Hospital, Hong KongUnknownSurgical Site InfectionHong Kong
-
University of MiamiCompleted
-
Community Pharmacology Services LtdKeneric HealthcareNot yet recruitingDiabetic Foot Ulcer | Diabetic Foot Ulcer Neuropathic | Diabetic Foot Ulcer Ischemic
-
ETS Wound Care, LLCProfessional Education and Research InstituteCompletedDiabetic Foot | Diabetic Foot Ulcer | Ulcer FootUnited States
-
Vomaris InnovationsCompletedBurns | Wound HealingUnited States