Changing Gloves Before Placental Extraction and Postcesarean Endometritis
Author Information
Author(s): Mark A. Turrentine, Tracey A. Banks
Primary Institution: University of Texas Health Science Center
Hypothesis
Does changing the surgeon's gloves after delivery of the infant and prior to manual placental removal decrease the incidence of postcesarean endometritis?
Conclusion
Changing the surgeon's gloves did not decrease the incidence of postcesarean endometritis.
Supporting Evidence
- The incidence of endometritis was 17.7% in the change group and 15.7% in the no-change group.
- 228 women were randomized into the study.
- No significant differences were noted between the groups regarding demographics or delivery variables.
Takeaway
The study looked at whether changing gloves during a cesarean delivery helps prevent infections, but it found that it doesn't make a difference.
Methodology
Laboring women undergoing cesarean delivery were randomized into change or no-change glove groups, and endometritis was diagnosed based on specific clinical criteria.
Limitations
The study did not account for all potential factors affecting endometritis rates, and the expected reduction in endometritis may have been too large to detect.
Participant Demographics
{"age":{"change_glove":25.6,"no_change_glove":26.4},"race":{"Black":{"change_glove":53,"no_change_glove":44.3},"Hispanic":{"change_glove":22,"no_change_glove":23.5},"White":{"change_glove":21.2,"no_change_glove":22.6},"Other":{"change_glove":3.5,"no_change_glove":9.6}},"insurance_type":{"Government":{"change_glove":51.5,"no_change_glove":49.6},"Health maintenance organization":{"change_glove":28.3,"no_change_glove":36.5},"Commercial":{"change_glove":13.2,"no_change_glove":1.3},"Nonresource":{"change_glove":7,"no_change_glove":2.6}},"nulliparity":{"change_glove":61.9,"no_change_glove":50.4},"gestational_age_weeks":{"change_glove":38.2,"no_change_glove":38.3}}
Statistical Information
P-Value
0.74
Confidence Interval
0.75-1.47
Statistical Significance
p<0.05
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