الفهرس 
CHAPTER (I): Post Cesarean infectionsOnly 14 pages are availabe for public view
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Abstract
Cesarean section (CS) is currently one of the most common surgical procedures performed in concurrent obstetrics. Post-operative infectious morbidity is one of the main adverse sequelae in cesarean deliveries. Endometritis can complicate cesarean delivery at a rate ranging between 6 and 27%.
Postpartum endometritis refers to infection of the decidua. It is a common cause of postpartum fever and uterine tenderness and is 10- to 30-fold more common after cesarean than vaginal delivery. Most infections are mild and resolve with antibiotic therapy; however, in a minority of patients, the infection extends into the peritoneal cavity resulting in peritonitis, intraabdominal abscess, or sepsis. Rare patients develop necrotizing myometritis, necrotizing fasciitis of the abdominal wall, septic pelvic thrombophlebitis, or toxic shock syndrome.
Chlorhexidine is a broad- spectrum antiseptic that has used extensively for many decades in hospital and other clinical settings. Chlorhexidine gluconate shown to be more effective than povidone iodine in decreasing the bacterial colony counts that found in the operative field for vaginal hysterectomy. The role of iodine in wound care is primarily as an antimicrobial agent. Betadine (Povidone iodine) has been used and tested in wound healing for many decades. In povidone iodine, iodine forms a complex with the synthetic carrier polymer povidone, which itself has no microbicidal activity.
The current study aimed to compare the efficacy of povidone iodine versus chlorhexidine in prevention of postpartum endometritis and related febrile morbidity in women undergoing elective cesarean section. To confirmed our results, this randomized comparative observation study was conducted upon 110 patients at Gynecology and Obstetrics department of Menoufia University hospital during the period from 2019 to 2021.