Cochrane · systematic review · CD007892

Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections

Haas, DM, Morgan, S, Contreras, K, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Pregnancy and Childbirth4 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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 25%Moderate 3 · 75%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 4 versions

Vaginal preparation with antiseptic solution compared to control (no preparation or saline preparation) for preventing postoperative infections

Population: pregnant women undergoing cesarean section
4 questions
OutcomeEffectEvidenceStatus / GRADE
Post‐cesarean endometritis
Vaginal preparation with antiseptic solution vs control (no preparation or saline preparation)
RR 0.41 [0.29, 0.58]20 studies · 6918 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Postoperative fever
Vaginal preparation with antiseptic solution vs control (no preparation or saline preparation)
RR 0.64 [0.5, 0.82]16 studies · 6163 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Postoperative wound infection
Vaginal preparation with antiseptic solution vs control (no preparation or saline preparation)
RR 0.62 [0.5, 0.77]18 studies · 6385 participantsModerate
Downgraded: risk of bias
Composite wound complication or endometritis
Vaginal preparation with antiseptic solution vs control (no preparation or saline preparation)
RR 0.46 [0.26, 0.82]2 studies · 499 participantsLow
Downgraded: risk of bias, imprecision