The effect of vaginal preparing on the reduction of postpartum infection

Cesarean is the most important and costly gynecology surgery. Infection is the second important complication after hemorrhage. It seems that almost all risk factors of postpartum infection are due to ascending organism from lower genital tract to upper genital tract. Surgical technique is also an independent risk factor. According to the importance of the post partum infection in Iran and controversy in literature we compare the preparing of vagina before surgery as a method for organism reduction with routine cesarean section procedure. during a randomized clinical trial study patients came for c/s were conducted into two groups: 1-routine c/s، 2-vaginal preparing before c/s. demografic data were collected، They were visited on the first post operative day، one week and six week after discharge and any fever، endometritis، febrile morbidity and wound infection were recorded for analyzing There was significant difference between the groups for the first day، first week and sixth week fever and febrile morbidity. But there was no significant difference was observed for first day wound infection، first day first week and sixth week endometritis. The frequency of those criteria which was mentioned; studied in patients with rupture of membrane and labor separately. There were no statistically significant deference between subgroups (those who had trial of labor and rupture of membrane). This study confirms the hypothesis that vaginal preparing reduces the infectious rate. This simple method can use easily before surgery to reduce infection significantly.