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Subject Area

Obstetrics and Gynecology

Article Type

Original Study

Abstract

Objective The aim of this study was to compare postpartum endomyometritis rates after cleaning versus noncleaning of the uterus during cesarean section. Background The rate of cesarean delivery has seen a sharp rise in the USA, with more than a million occurring annually. Intrauterine cleaning during cesarean section, that is, wiping the inner lining of the uterus with a dry laparotomy sponge after placental delivery, is intended to remove blood clots and bits of decidua or membranes within the uterine cavity. Patients and methods This prospective study was applied at the El-Bagour General Hospital during the period from October 2019 to July 2020. A total of 210 women attending this hospital for elective cesarean section were included in the study. Results The current study concluded that uterine cleaning through wiping the uterus after placental delivery is not effective in reducing the incidence of endometritis; furthermore, it can be hazardous and increase the risk of infection. Conclusion There was a statistically significant increase in the cleaning group than the noncleaning group regarding the incidence of endometritis (P < 0.05). Overall, 40% of cleaning cases had endometritis, whereas 20% of noncleaning cases had endometritis.

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