Effect of prophylactic antibiotics (Cephalosporin versus Amoxicillin) on preventing post caesarean section infection

المجلة: Journal of American Science

سنة النشر: 2011

تاريخ النشر: 2011-06-04

Prophylactic antibiotics have been shown to be effective in reducing the incidence of febrile morbidity associated with cesarean section after labor. However, the relative effectiveness of different single antibiotics has been studied infrequently. Several new broad spectrum antibiotics are now available, and any further benefit from more traditional antibiotics for surgical prophylaxis remains untested. A randomized clinical trial for testing the efficacy of cephalosporin versus Amoxicillin in preventing post cesarean section infection, and to identify the role of health education about wound care in reducing post cesarean section wound infection. This study conducted at emergency unit of the Obstetrics &Gynecological department, Woman's Health Center, Assiut University Hospital, between 2008 to 2009. Women's undergoing emergency and elective cesarean section were recruited into the study and given either drug as prophylaxis. The sample comprised 200 pregnant women. 100 pregnant women received Amoxicillin and the other 100 pregnant women received Cephalosporin as a prophylactic antibiotic. For each group, 50 women received routine hospital wound care and the other 50 women received health education about wound care. Random assignment was done by computer generated tables. Concealed envelopes containing the random number made to be opened after deciding to include the case in the study. The present study presented that the incidence of post- operative wound infection was significantly higher in Amoxicillin group (12%) versus (3%) in Cephalosporin group ,(P=0.016). It was also illustrated from the present study that, women who had infected wounds(3%) did not receive health education about wound care and were not significantly higher than those received health education about wound care (2%), (P=0.361).. We can concluded that use of Amoxicillin as a prophylactic antibiotic as effective as Cephalosporin in preventing post cesarean section wound infection. And women that received health education about wound care are less likely to expose to wound infection than those who receive only routine hospital care, in spite that the comparative results are not significant

Effect of early and progressive exercises on post-caesarean section recovery among women attending women's heath hospital

المجلة: International Journal of Advanced Nursing Studies

سنة النشر: 2017

تاريخ النشر: 2017-02-06

Background: Cesarean section is the oldest surgery performed in obstetrics. Time needed for recovery of post cesarean section woman is more than those needed for vaginal delivery. The nursing role is to make women after C. S more independent in resuming their daily activities as soon as possible. This can be achieved by early exercises to faster her recovery and reduce complications associated with prolonged bed rest after C.S. The study aimed to assess the effect of early and progressive exercises on C. S recovery among post caesarean women for women attending Women’s Health Hospital, Assiut University, Egypt. Methods: A study and control quasi-experimental design used on 340 posts cesarean section women divided into two groups, study and control, each group contained 170 postpartum women. A structured interviewing questionnaire used as a tool which included Sociodemographic, Obstetric characteristics and follow-up data. Results: Findings of this study revealed that there were significant differences between both groups regarding post-cesarean section recovery variables, which included analgesics required, self-void after catheter removal, breast feeding, oral hydration, and first flatus passed after exercises as per the independent t-test (p<0.05). Conclusion: Early and progressive exercises had an effective role in improving post cesarean section women recovery. Recommendations: Early and progressive exercises should be encouraged as a routine part of care for women within 2 hours after cesarean section.