Abstract
Background: Finding clinical approaches to reduce the infectious hazards of cesarean operation is very essential. The main aim of this study was to show the outcome of using pre- operative vaginal cleansing with antiseptic solution on post-caesarean infections.

Methods: A randomized-controlled trial conducted on 200 pregnant women on elective Cesarean section. They divided into two groups ; the control group, their operations were conducted with standard classical abdominal scrub alone while other group (experimental) with vaginal povidone iodine preparation in addition to the standard abdominal scrub. Every woman was monitored post-operatively for development of fever, endometritis, and wound infection, duration of postoperative antibiotics administration, postoperative stay and neonatal outcome.

Results: The two groups, were similar in age, teaching level, body mass index, and parity. The variables in both groups are: Post-Cesarean endometritis developed in 6% of women who received a vaginal preparation pre-operatively and 15% of the controls. A total of 30% of control women and 20% of women in the experimental group had post-operative febrile illness. Wound infections were unusual complications that happened only in two percent of the control patients and one percent of patient in the group.

Conclusion: Pre-operative vaginal handling with povidone iodine reduced the danger of post-Cesarean endometritis. However, this procedure doesn't decline the whole risk of post-operative wound infection or fever.

Key words: Cesarean Delivery, Endometritis, Povidone Iodine.