Subcutaneous Lavage in Cesarean Section

March 17, 2025 updated by: Hadassah Medical Organization

Antiseptic Washing Prior to Skin Closure During Cesarean Delivery- a Randomized Control Trial

The goal of this clinical trial is to learn if antiseptic washing prior to skin closure during cesarean section reduces rates of surgical site infection.

intraoperative washing is a common practice in other surgical fields and several studies have shown efficacy in reducing postoperative infection rates. no randomized control trial has tested this intervention during cesarean section.

The main questions we aim to answer are:

Does subcutaneous antiseptic washing reduce the rates of surgical site infection? Does antiseptic washing improve scar healing? Does antiseptic washing reduce hospital stay, postpartum fever rates and readmission cases?

Researchers will compare subcutaneous antiseptic washing to no intervention to see if surgical site infection rates reduce

Participants will:

consent to participate in the trial Visit the postpartum clinic 30 days after surgery

Study Overview

Study Type

Interventional

Enrollment (Estimated)

600

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 Locations

      • Jerusalem, Israel
        • Recruiting
        • Hadassah Medical Organization
        • Contact:

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • pregnant women undergoing cesarean delivery

Exclusion Criteria:

  • pregnant women undergoing vaginal delivery

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Single Group Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Subcutan lavage
Subcutaneous washing with antiseptic solution: Chlorhexidine gluconate 0.2%
subcutaneous washing with chlorhexidine gluconate prior to skin closure
Placebo Comparator: no lavage
No subcutaneous washing
no washing

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
surgical site infection
Time Frame: 30 days after surgery
SSI infection rates
30 days after surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
hospital stay
Time Frame: 30 days after surgery
length of hospital stay
30 days after surgery
wound healing
Time Frame: 30 days after surgery
assessment of the healing according to Southampton criteria: presence of inflammation, erythema or discharge
30 days after surgery
postpartum fever
Time Frame: 30 days after surgery
fever recording
30 days after surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

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)

September 22, 2024

Primary Completion (Estimated)

October 1, 2027

Study Completion (Estimated)

December 1, 2028

Study Registration Dates

First Submitted

May 7, 2024

First Submitted That Met QC Criteria

June 8, 2024

First Posted (Actual)

June 12, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 17, 2025

Last Verified

May 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • WASHCD-HMO-CTIL

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

product manufactured in and exported from the U.S.

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.

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