الفهرس 
Significance of the StudyOnly 14 pages are availabe for public view
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Abstract
Caesarean section (CS) is defined as a surgical procedure in which delivery is performed through an incision of the abdomen and the uterus. CS continues to be the surgery most often performed in obstetric (Kaur, & Sikka, 2015). For women undergoing Caesarean range 5-20 times are more susceptible to infection than are women with normal vaginal delivery. The incidence of infection following cesarean section varies depending on the socio-economic factors, and the use of antibiotics before the surgery has significantly changed. It is estimated that between 4 to 7 days after the delivery, infection may happen in 2.5-16% of the patients (Barat, 2016).
Infectious complications after cesarean delivery are a major cause of maternal morbidity and perhaps prolong the stay in the hospital. These include fever, sore wounds and inflammation of the lining of the uterus after childbirth (Mohamed, 2014). Endometritis is the most common cause of fever and infection after the caesarean delivery. Postpartum infectious morbidity is mostly a poly-microbial condition due to the micro-organisms in the lower genital area of the host. This is the main way of entry of micro-organisms responsible for post-cesarean infection, especially in the case of a rupture of the amniotic membrane. The microbial invasion of the intrauterine cavity also occurs with intact amniotic membranes (Yavuz et al., 2014).
Preoperative vaginal washing with an antiseptic solution or an antimicrobial agent is a routine prophylactic nursing intervention that had been performed before many gynecological procedures to prevent post-procedure infection, but it is not a standard care before CS (Khedr, 2016). Although there is some literature supporting its use to decrease the incidence of post-operative infectious morbidity, three
large trials in the last decade showed that pre-operative vaginal cleansing along with parenteral antibiotics decreased the risk of post- operative endometritis. Povidone iodine was found to cause a sudden decrease in the number of aerobic and anaerobic bacteria in 10 minutes after administration