Cochrane · systematic review · CD007462

Skin preparation for preventing infection following caesarean section

Hadiati, DR, Hakimi, M, Nurdiati, DS, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Pregnancy and Childbirth3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
8
No studies
4
Included studies
NR
No studies 4 · 33.3%Ungraded 0 · 0%Very low 4 · 33.3%Low 2 · 16.7%Moderate 2 · 16.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Parachlorometaxylenol with iodine versus iodine alone for preventing infection following caesarean section

Population: women undergoing caesarean section
4 questions
OutcomeEffectEvidenceStatus / GRADE
Surgical site infection
Parachlorometaxylenol with iodine vs iodine alone
RR 0.33 [0.04, 2.99]1 study · 50 participantsVery low
Downgraded: imprecision
Endometritis
Parachlorometaxylenol with iodine vs iodine alone
RR 0.88 [0.56, 1.38]1 study · 50 participantsVery low
Downgraded: imprecision
Length of stay
Parachlorometaxylenol with iodine vs iodine alone
no estimate extractedNRNo studies
Adverse events (maternal or neonatal)
Parachlorometaxylenol with iodine vs iodine alone
no estimate extractedNRNo studies

Chlorhexidine gluconate compared to povidone iodine for preventing infection following caesarean section

Population: women undergoing caesarean section
4 questions
OutcomeEffectEvidenceStatus / GRADE
Surgical site infection
Chlorhexidine gluconate vs povidone iodine
RR 0.72 [0.58, 0.91]8 studies · 4323 participantsModerate
Downgraded: risk of bias
Endometritis
Chlorhexidine gluconate vs povidone iodine
RR 0.95 [0.49, 1.86]3 studies · 2484 participantsLow
Downgraded: risk of bias
Length of stay
Chlorhexidine gluconate vs povidone iodine
no estimate extractedNRNo studies
Adverse events (maternal) ‐ skin irritation or allergic skin reaction
Chlorhexidine gluconate vs povidone iodine
RR 0.64 [0.28, 1.46]3 studies · 1926 participantsVery low
Downgraded: risk of bias

Drape compared to no drape for preventing infection following caesarean section

Population: women undergoing caesarean section
4 questions
OutcomeEffectEvidenceStatus / GRADE
Surgical site infection
Drape vs no drape
RR 1.29 [0.97, 1.71]3 studies · 1373 participantsLow
Downgraded: risk of bias
Metritis
Drape vs no drape
RR 1.62 [0.29, 9.16]1 study · 79 participantsVery low
Downgraded: risk of bias
Length of stay (days)
Drape vs no drape
no estimate extracted1 study · 603 participantsModerate
Downgraded: risk of bias, imprecision
Adverse events (maternal or neonatal)
Drape vs no drape
no estimate extractedNRNo studies