WHO recommendation on vaginal preparation with antiseptic agents for women undergoing caesarean section

WHO recommendation on vaginal preparation with antiseptic agents for women undergoing caesarean section

Author:

Publisher: World Health Organization

Published: 2021-06-18

Total Pages: 62

ISBN-13: 9240028056

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While the evidence on vaginal preparation before caesarean section was largely derived from trials using povidone-iodine, benefit was demonstrated overall for any antiseptic (either povidone-iodine or chlorhexidine gluconate) versus no antiseptic. Included trials used varying concentrations of chlorhexidine gluconate (0.05% to 0.25%) or povidone-iodine (1% to 10%), and the base (aqueous or alcohol) was not described. However, the Guideline Development Group agreed that alcohol-based antiseptic solutions should not be used for vaginal preparation because of concerns around irritation of mucosa. This recommendation pertains to all women undergoing caesarean section regardless of their baseline risk of infectious morbidity following surgery (i.e. for caesarean section in women before or during labour, and women with intact or ruptured membranes). Whilst available trials were not clear on the timing of vaginal preparation relative to the caesarean section, the Guideline Development Group suggested that vaginal preparation should be performed as close to the start of caesarean section as possible (e.g. directly following preoperative urinary bladder catheterization) to minimize the woman’s discomfort.


Book Synopsis WHO recommendation on vaginal preparation with antiseptic agents for women undergoing caesarean section by :

Download or read book WHO recommendation on vaginal preparation with antiseptic agents for women undergoing caesarean section written by and published by World Health Organization. This book was released on 2021-06-18 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the evidence on vaginal preparation before caesarean section was largely derived from trials using povidone-iodine, benefit was demonstrated overall for any antiseptic (either povidone-iodine or chlorhexidine gluconate) versus no antiseptic. Included trials used varying concentrations of chlorhexidine gluconate (0.05% to 0.25%) or povidone-iodine (1% to 10%), and the base (aqueous or alcohol) was not described. However, the Guideline Development Group agreed that alcohol-based antiseptic solutions should not be used for vaginal preparation because of concerns around irritation of mucosa. This recommendation pertains to all women undergoing caesarean section regardless of their baseline risk of infectious morbidity following surgery (i.e. for caesarean section in women before or during labour, and women with intact or ruptured membranes). Whilst available trials were not clear on the timing of vaginal preparation relative to the caesarean section, the Guideline Development Group suggested that vaginal preparation should be performed as close to the start of caesarean section as possible (e.g. directly following preoperative urinary bladder catheterization) to minimize the woman’s discomfort.

WHO Recommendation on Vaginal Preparation with Antiseptic Agents for Women Undergoing Caesarean Section

WHO Recommendation on Vaginal Preparation with Antiseptic Agents for Women Undergoing Caesarean Section

Author: World Health Organization

Publisher:

Published: 2021

Total Pages: 0

ISBN-13:

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Book Synopsis WHO Recommendation on Vaginal Preparation with Antiseptic Agents for Women Undergoing Caesarean Section by : World Health Organization

Download or read book WHO Recommendation on Vaginal Preparation with Antiseptic Agents for Women Undergoing Caesarean Section written by World Health Organization and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

WHO recommendations on choice of antiseptic agent and method of application for preoperative skin preparation for caesarean section

WHO recommendations on choice of antiseptic agent and method of application for preoperative skin preparation for caesarean section

Author:

Publisher: World Health Organization

Published: 2021-06-18

Total Pages: 54

ISBN-13: 924002803X

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There was a lack of evidence to recommend a specific concentration of chlorhexidine gluconate; however, most trials included used 2% chlorhexidine gluconate in 70% alcohol. Maternal allergy to alcohol-based chlorhexidine gluconate must be excluded before surgery. In women with no previous history of allergy to alcohol-based chlorhexidine gluconate, it should be noted that chlorhexidine gluconate can cause skin irritation. A standard preoperative skin preparation technique that is appropriate for the intended skin incision must be followed. As alcohol is highly flammable, alcohol-based antiseptic preparations may ignite if used in the presence of diathermy, and they must be allowed to dry by evaporation. It is advisable to ensure that the drapes are not saturated with alcohol or that the alcohol-based solution has not formed a pool underneath the woman before starting surgery. Particular care should be taken at emergency caesarean section. Where chlorhexidine gluconate is not available, other antiseptic agent such as povidone-iodine can be considered a suitable antiseptic agent for preoperative skin preparation, although it is not as effective as alcohol-based chlorhexidine gluconate. The Guideline Development Group noted that the current recommendation is consistent with the 2016 WHO global guidelines on the prevention of surgical site infection, which recommends chlorhexidine gluconate alcohol-based antiseptic solutions for surgical site skin preparation in individuals undergoing surgical procedures.


Book Synopsis WHO recommendations on choice of antiseptic agent and method of application for preoperative skin preparation for caesarean section by :

Download or read book WHO recommendations on choice of antiseptic agent and method of application for preoperative skin preparation for caesarean section written by and published by World Health Organization. This book was released on 2021-06-18 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: There was a lack of evidence to recommend a specific concentration of chlorhexidine gluconate; however, most trials included used 2% chlorhexidine gluconate in 70% alcohol. Maternal allergy to alcohol-based chlorhexidine gluconate must be excluded before surgery. In women with no previous history of allergy to alcohol-based chlorhexidine gluconate, it should be noted that chlorhexidine gluconate can cause skin irritation. A standard preoperative skin preparation technique that is appropriate for the intended skin incision must be followed. As alcohol is highly flammable, alcohol-based antiseptic preparations may ignite if used in the presence of diathermy, and they must be allowed to dry by evaporation. It is advisable to ensure that the drapes are not saturated with alcohol or that the alcohol-based solution has not formed a pool underneath the woman before starting surgery. Particular care should be taken at emergency caesarean section. Where chlorhexidine gluconate is not available, other antiseptic agent such as povidone-iodine can be considered a suitable antiseptic agent for preoperative skin preparation, although it is not as effective as alcohol-based chlorhexidine gluconate. The Guideline Development Group noted that the current recommendation is consistent with the 2016 WHO global guidelines on the prevention of surgical site infection, which recommends chlorhexidine gluconate alcohol-based antiseptic solutions for surgical site skin preparation in individuals undergoing surgical procedures.

WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections

WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections

Author: World Health Organization

Publisher: World Health Organization

Published: 2016-02-12

Total Pages: 80

ISBN-13: 924154936X

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The goal of the present guideline is to consolidate guidance for effective interventions that are needed to reduce the global burden of maternal infections and its complications around the time of childbirth. This forms part of WHO's efforts towards improving the quality of care for leading causes of maternal death especially those clustered around the time of childbirth in the post-MDG era. Specifically it presents evidence-based recommendations on interventions for preventing and treating genital tract infections during labour childbirth or puerperium with the aim of improving outcomes for both mothers and newborns. The primary audience for this guideline is health professionals who are responsible for developing national and local health protocols and policies as well as managers of maternal and child health programmes and policy-makers in all settings. The guideline will also be useful to those directly providing care to pregnant women including obstetricians midwives nurses and general practitioners. The information in this guideline will be useful for developing job aids and tools for both pre- and inservice training of health workers to enhance their delivery of care to prevent and treat maternal peripartum infections.


Book Synopsis WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections by : World Health Organization

Download or read book WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections written by World Health Organization and published by World Health Organization. This book was released on 2016-02-12 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of the present guideline is to consolidate guidance for effective interventions that are needed to reduce the global burden of maternal infections and its complications around the time of childbirth. This forms part of WHO's efforts towards improving the quality of care for leading causes of maternal death especially those clustered around the time of childbirth in the post-MDG era. Specifically it presents evidence-based recommendations on interventions for preventing and treating genital tract infections during labour childbirth or puerperium with the aim of improving outcomes for both mothers and newborns. The primary audience for this guideline is health professionals who are responsible for developing national and local health protocols and policies as well as managers of maternal and child health programmes and policy-makers in all settings. The guideline will also be useful to those directly providing care to pregnant women including obstetricians midwives nurses and general practitioners. The information in this guideline will be useful for developing job aids and tools for both pre- and inservice training of health workers to enhance their delivery of care to prevent and treat maternal peripartum infections.

Safe Abortion

Safe Abortion

Author: World Health Organization

Publisher: World Health Organization

Published: 2003-05-13

Total Pages: 107

ISBN-13: 9241590343

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At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.


Book Synopsis Safe Abortion by : World Health Organization

Download or read book Safe Abortion written by World Health Organization and published by World Health Organization. This book was released on 2003-05-13 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

Global Gidelines for the Pevention of Surgical Site Infection

Global Gidelines for the Pevention of Surgical Site Infection

Author: World Health Organization

Publisher:

Published: 2017-01-27

Total Pages: 184

ISBN-13: 9789241549882

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Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.


Book Synopsis Global Gidelines for the Pevention of Surgical Site Infection by : World Health Organization

Download or read book Global Gidelines for the Pevention of Surgical Site Infection written by World Health Organization and published by . This book was released on 2017-01-27 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.

Managing Complications in Pregnancy and Childbirth

Managing Complications in Pregnancy and Childbirth

Author:

Publisher: World Health Organization

Published: 2003

Total Pages: 393

ISBN-13: 9241545879

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The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.


Book Synopsis Managing Complications in Pregnancy and Childbirth by :

Download or read book Managing Complications in Pregnancy and Childbirth written by and published by World Health Organization. This book was released on 2003 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.

Evidence Based Labor and Delivery Management

Evidence Based Labor and Delivery Management

Author: Vincenzo Berghella

Publisher: Jaypee Brothers Medical Publishers

Published: 2019-02-28

Total Pages: 330

ISBN-13: 9352701607

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This book is a guide to labour and delivery management for trainees in obstetrics and gynaecology, and midwives. Divided into three sections, the text begins with detailed discussion on labour, from preparation before labour and delivery, through the different stages of labour, to postpartum care. The next section covers caesarean delivery, and the third, ‘special labour’ which explains labour complications, twins, prelabour rupture of membranes, and more. The book is authored by recognised experts from the USA and Italy, and is based on evidence from randomised controlled trials (RCTs). Clinical photographs, diagrams and tables further enhance learning. Key points Guide to labour and delivery management for trainees in obstetrics and gynaecology, and midwives Text based on evidence from randomised controlled trials (RCTs) Recognised author team from USA and Italy Includes clinical photographs, diagrams and tables


Book Synopsis Evidence Based Labor and Delivery Management by : Vincenzo Berghella

Download or read book Evidence Based Labor and Delivery Management written by Vincenzo Berghella and published by Jaypee Brothers Medical Publishers. This book was released on 2019-02-28 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a guide to labour and delivery management for trainees in obstetrics and gynaecology, and midwives. Divided into three sections, the text begins with detailed discussion on labour, from preparation before labour and delivery, through the different stages of labour, to postpartum care. The next section covers caesarean delivery, and the third, ‘special labour’ which explains labour complications, twins, prelabour rupture of membranes, and more. The book is authored by recognised experts from the USA and Italy, and is based on evidence from randomised controlled trials (RCTs). Clinical photographs, diagrams and tables further enhance learning. Key points Guide to labour and delivery management for trainees in obstetrics and gynaecology, and midwives Text based on evidence from randomised controlled trials (RCTs) Recognised author team from USA and Italy Includes clinical photographs, diagrams and tables

Infections in Pregnancy

Infections in Pregnancy

Author: Adel Elkady

Publisher: Cambridge University Press

Published: 2019-10-24

Total Pages: 215

ISBN-13: 1108716636

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Provides effective diagnosis and management of infectious diseases in pregnant women in a single comprehensive available resource for busy clinicians.


Book Synopsis Infections in Pregnancy by : Adel Elkady

Download or read book Infections in Pregnancy written by Adel Elkady and published by Cambridge University Press. This book was released on 2019-10-24 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides effective diagnosis and management of infectious diseases in pregnant women in a single comprehensive available resource for busy clinicians.

Vulvovaginal Candidosis

Vulvovaginal Candidosis

Author: Werner Mendling

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 179

ISBN-13: 3642833128

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Fungal infections in the female play an increasingly large role in everyday gynecological practice. This is the first book to deal comprehensively with vulvovaginal candidosis. Following an introduction outlining the incidence of yeasts in man, genital colonization in the female sex, yeast in pregnancy and neonatal mycoses, there is a description of the modes of infection and the known host reactions, as well as of the symptoms for diagnosis and therapy. Some 150 color illustrations depict all known facultative pathogenetic candida species and other potentially pathogenetic yeasts in pure culture and under the microscope. Clinical examples help explain the diagnosis and differential diagnosis. The volume provides the physician with handy, concise and practice-oriented guidelines to correct diagnosis and effective treatment of yeasts in the female patient.


Book Synopsis Vulvovaginal Candidosis by : Werner Mendling

Download or read book Vulvovaginal Candidosis written by Werner Mendling and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fungal infections in the female play an increasingly large role in everyday gynecological practice. This is the first book to deal comprehensively with vulvovaginal candidosis. Following an introduction outlining the incidence of yeasts in man, genital colonization in the female sex, yeast in pregnancy and neonatal mycoses, there is a description of the modes of infection and the known host reactions, as well as of the symptoms for diagnosis and therapy. Some 150 color illustrations depict all known facultative pathogenetic candida species and other potentially pathogenetic yeasts in pure culture and under the microscope. Clinical examples help explain the diagnosis and differential diagnosis. The volume provides the physician with handy, concise and practice-oriented guidelines to correct diagnosis and effective treatment of yeasts in the female patient.