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| Effect of the vaginal lavage by Anerdian Ⅲ of pregnant women before transfer to cesarean section from vaginal trial delivery for preventing their puerperal infection |
| 1.Shunde Hospital of Southern Medical University (The First People's Hospital of Shunde District), Foshan, Guangdong Province, 528300; 2. Zhujiang Hospital, Southern Medical University, Guangzhou |
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Abstract To analyze the effect of the vaginal lavage by Anerdian Ⅲ of pregnant women before transfer to cesarean section from vaginal trial delivery for preventing their puerperal infection. Methods: The clinical data of 400 pregnant women with the transfer to cesarean section from vaginal trial delivery between January 2022 and December 2023 were analyzed retrospectively. 200 women in the control group were given vulvar skin preparation and irrigation before cesarean section from January 2022 to December 2022, and 200 women in the observation group were given vulvar skin preparation and vaginal lavage and irrigation by Aliodine III from January 2023 to December 2023. The postoperative body temperature, the 24h blood loss, the puerperal infection rate, the incision infection rate, the white blood cell count (WBC), and the changes of the C-reactive protein (CRP) and procalcitonin (PCT) levels of the women were compared between the two groups. Results: The body temperature values of the women in the observation group at postoperative 24 hours (36.90±0.17℃), 48 hours (36.70±0.15℃) and 72 hours (36.50±0.12℃) were significantly lower than those (37.00±0.21℃, 36.80±0.16℃ and 36.60±0.13℃) of the women in the control group. The amount of bleeding (287.3±21.5ml) of the women in the observation group within 24 hours after operation was significantly less than that (296.2±23.7ml) of the women in the control group. The rate of puerperal infection (0.5%) of the women in the observation group was significantly lower than that (3.5%) of the women in the control group (all P<0.05). There was no significant difference in the incision infection rate (0.5% vs. 1.0%) of the women between the two groups (P>0.05). The WBC (10.07±2.28×109/L) and the levels of CRP (2.23±0.39mg/L) and PCT (4.05±0.62 ng/ml) of the women in the observation group at 72 hours after operation were significantly lower than those (12.77±3.59 ×109/L, 5.06±1.28mg/L and 7.33±1.51ng/ml) of the women in the control group (all P<0.05). Conclusion: The vaginal lavage by Anerdian Ⅲ for the pregnant women before they are transferred to cesarean section from vaginal trial delivery can effectively control their postoperative maternal body temperature, WBC, and CRP and PCT levels, and which can reduce the incidence of the puerperal infection of the women.
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