Silver foam dressing after cesarean: does it prevent infection as well as standard care?

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this randomized study, participants undergoing cesarean delivery are assigned to receive either the silver foam dressing (Mepilex Border Post-Op Ag) or the standard postoperative dressing. The main question is whether the silver dressing prevents surgical site infection as effectively as the standard care. Researchers will monitor wound problems, need for follow-up care, and patient satisfaction, with a check-in call about 30 to 40 days after delivery. The trial takes place at Montefiore Medical Center, with adult patients able to consent and comply with follow-up.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18 years or older
* Undergoing scheduled cesarean delivery or unscheduled non-emergent cesarean delivery at Montefiore Medical Center - Weiler Hospital
* Able to provide written informed consent
* Access to a working telephone number for follow-up communication
* Willingness to comply with study procedures and follow-up assessments

Exclusion Criteria:

* Known hypersensitivity or allergy to silver, silicone, adhesive materials, Mepilex Border Post-Op Ag, or any dressing component
* Active skin infection at the planned dressing site
* Psoriasis, eczema, chronic dermatitis or other dermatological condition that may interfere with dressing application, wound assessment, or interpretation of study outcomes
* Immunocompromised status, including current chemotherapy, chronic system corticosteroid use, or known HIV infection with CD4 count \<200 cells/mm\^3
* Participation in another interventional trial that may affect wound healing or postoperative outcomes
* Intraoperative conversion to a vertical skin incision
* Anticipated inability to complete follow-up because of relocation, incarceration, or other logistical barrier
* Severe pain, acute distress, or other clinical circumstances at the time of study approach that, in the judgment of the physician member of the study team responsible for obtaining informed consent, make it inappropriate to initiate or complete the research informed consent process
* Emergent cesarean delivery in which informed consent cannot reasonably be obtained prior to surgery and/or standard sterile skin preparation procedures are not utilized

Comment: Won't intraoperative conversion to a vertical incision not be known until the time of Sx?

Where it's running

• Montefiore-Einstein Jack D. Weiler Hospital
  The Bronx, New York, United States Recruiting

Study contacts

• Principal investigator: Lilly Liu, MD, MPH — Montefiore Medical Center
• Study coordinator: Anna Weinstein, DO
• Email: anweinstei@montefiore.org
• Phone: 347-543-3542

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.