Preoperative Application of Chlorhexidine to Reduce Infection With Cesarean Section After Labor (PRACTICAL)
Cesarean Section, Surgical Site Infection, Nosocomial Infection
About this trial
This is an interventional prevention trial for Cesarean Section focused on measuring Cesarean section, Labor, Surgical Site Infections, Chlorhexidine gluconate
Eligibility Criteria
Inclusion Criteria:
- Women at > 24 weeks gestation who are admitted in labor or admitted for induction of labor at Mount Sinai Hospital
Exclusion Criteria:
- Allergy to chlorhexidine
- Unplanned or emergency cesarean section
- Women at <24 weeks gestation
- Estimated fetal weight <500 grams
- Fetal face presentation regardless of gestational age.
Sites / Locations
- Icahn School of Medicine at Mount Sinai
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Chlorhexidine gluconate vaginal scrub and cloth
Standard Treatment
Patients will have a 2% chlorhexidine gluconate cloth applied to their abdomen as well as 4% chlorhexidine gluconate vaginal scrub applied as a vaginal cleanse in the operating room prior to cesarean section
Patients who are not in the intervention arm will receive the standard of care prior to a cesarean section. In the operating room the patient will receive an abdominal cleanse with 2% Chloraprep solution (2% chlorhexidine gluconate) in addition to routine IV antibiotics.