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Effect of changing gloves before placental extraction on incidence of postcesarean endometritis.
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MedLine Citation:
PMID:  18476058     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: We sought to determine if changing the surgeon's gloves after delivery of the infant and prior to manual placental removal decreases the incidence of postcesarean endometritis.Methods: Laboring women undergoing cesarean delivery between September 1, 1994, and August 31, 1995, were prospectively randomized into either a change or no-change glove group. In the change-glove group, the surgeon's gloves were changed after delivery of the infant and before manual removal of the placenta. All patients enrolled received a single prophylactic dose of an IV antibiotic after clamping of the umbilical cord. Endometritis was diagnosed by an oral temperature of >/=38 on 2 occasions at least 6 h apart and >24 h after delivery, uterine tenderness, peripheral blood leukocytosis (>/=15,000 cells/ml), and the exclusion of other foci of infection. In order to detect a reduction in endometritis from 14% to 2%, at P < 0.05 with 80% power, we needed 95 patients in each group.Results: Two hundred twenty-eight women were randomized to 2 groups: 113 were in the change group and 115 in the no-change group. No significant differences were noted between the groups with respect to demographics, duration of labor, length of ruptured membranes, number of vaginal examinations, duration of internal monitoring, length of surgery, blood loss, or infant weight. There was no decrease in the incidence of endometritis between the change group (17.7%) and the no-change group (15.7%) (relative risk 1.1, 95% confidence interval 0.75-1.47).Conclusions: In this study, the incidence of postcesarean endometritis was not decreased by changing the surgeon's gloves after delivery of the infant but before placental extraction.
Authors:
M A Turrentine; T A Banks
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Infectious diseases in obstetrics and gynecology     Volume:  4     ISSN:  1064-7449     ISO Abbreviation:  Infect Dis Obstet Gynecol     Publication Date:  1996  
Date Detail:
Created Date:  2008-05-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9318481     Medline TA:  Infect Dis Obstet Gynecol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  16-9     Citation Subset:  -    
Affiliation:
Department of Obstetrics, Gynecology, and Reproductive Sciences University of Texas Health Science Center Houston TX USA.
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Journal Information
Journal ID (nlm-ta): Infect Dis Obstet Gynecol
ISSN: 1064-7449
ISSN: 1098-0997
Publisher: Hindawi Publishing Corporation
Article Information
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Copyright ? 1996 Hindawi Publishing Corporation.
open-access: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 27 Month: 11 Year: 1995
Accepted Day: 27 Month: 3 Year: 1996
Print publication date: Year: 1996
Volume: 4 Issue: 1
First Page: 16 Last Page: 19
ID: 2364459
PubMed Id: 18476058
Publisher Item Identifier: S106474499600004X
DOI: 10.1155/S106474499600004X

Effect of Changing Gloves Before Placental Extraction on Incidence of Postcesarean Endometritis
Mark A. Turrentine12
Tracey A. Banks1
1Department of Obstetrics, Gynecology, and Reproductive SciencesUniversity of TexasHealth Science CenterHoustonTXUSA
2Department of Obstetrics and GynecologyMacGregor Medical Association6410 Fannin, Suite 200-AHoustonTX77030USA


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