Vaginal preparations

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Postoperative infection remains the most common complication of surgical procedures in gynecology. The initiation of antibiotic prophylaxis for appropriate surgical procedures was a significant advancement in the prevention of surgical site infection.

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Vaginal preparations are products, which are applied or inserted in the vagina to treat vaginal conditions. They may contain antibacterial or antifungal agents to treat infection, or they have agents such as hormones that relieve menopausal symptoms. Vaginal preparations are available as creams, pessaries tabletgels or rings.

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Estrogens are hormones produced by the body. Among other things, estrogens help develop and maintain female organs. When your body is in short supply of this hormone, replacing it can ease the uncomfortable changes that occur in the vagina, vulva female genitalsand urethra part of the urinary system.

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Bacterial infections during labour and the puerperium are among the leading causes of maternal mortality worldwide, accounting for about one tenth of the global burden of maternal deaths. Most of the estimated 75, maternal deaths occurring worldwide yearly as a result of infections are recorded in low-income countries. Apart from deaths and acute morbidities associated with infections during or following childbirth, long-term disabilities such as chronic pelvic pain, fallopian tube blockage and secondary infertility can also occur.

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My doctor prescribed a low-dose vaginal estrogen cream, applied twice a week, for atrophic vaginitis. I've heard this dose is so low that it carries no health risk. Do you agree?

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Symptoms are often restricted to the vulva, but infections almost invariably involve the vagina which should also be treated. Applications to the vulva alone are likely to give only symptomatic relief without cure. Topical anaesthetic agents give only symptomatic relief and may cause sensitivity reactions. They are indicated only in cases of pruritus where specific local causes have been excluded.

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Infectious morbidity after cesarean delivery can have a tremendous impact on the postpartum woman's return to normal function and her ability to care for her baby. Despite the widespread use of prophylactic antibiotics, postoperative infectious morbidity still complicates cesarean deliveries. This is an update of a Cochrane review first published in and subsequently updated inand twice in