Intrauterine Cleaning After Delivery of Placenta during Cesarean Section: A Randomized Comparative Trial

Abstract

Caesarean section is one of the commonest operations performed and its incidence is increasing. The majority of these operations proceed smoothly and safely; however, caesarean section is a major, open abdominal procedure. Women undergoing caesarean sections are 5-20 times more susceptible to infection than women who had normal vaginal delivery. Post-cesarean endometritis is still regarded as serious morbidities, in spite of the strategies used to prevent these complications. To reduce the morbidity, different preventive measures have been taken including the administration of prophylactic antibiotics, use of prophylactic vaginal preparation, and the uterine cavity cleaning. The benefits of such measure remain a topic of debate. Obstetricians who don't support intrauterine cleaning argue that this procedure is not routinely performed after vaginal deliveries, and therefore, it's unnecessary to do so following cesarean sections.