Re: Sterile gloves vs non-sterile gloves

[Franciska Ferreira]

Good morning all,

I was asked the question, whether sterile gloves or non-sterile gloves should be used when conducting VE’s and Deliveries? I have little knowledge/background in the obstetric field but have witnessed obstetricians wearing sterile gloves for VE’s in the past.

From recent experience I’ve been told that most obstetricians using non-sterile gloves and only uses sterile gloves for suturing.

Any comments or views on this matter would be appreciated.

Thank you

Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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[Glenys Harrington]

Hi Franciska,

By definition I would consider vaginal examinations and deliveries to fit
under the category of General asepsis – ie applies to procedures outside an
operating suite procedure area and aims to reduce the number of
microorganisms and prevent their spread.

Hence I would expect that sterile glove be worn for such procedures.

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

PO Box 5202

Middle Park

Victoria, 3206

Australia

H: +61 3 96902216

M: +61 404 816 434

infexion@ozemail.com.au

ABN 47533508426

Of Franciska Ferreira

Good morning all,

I was asked the question, whether sterile gloves or non-sterile gloves
should be used when conducting VE’s and Deliveries? I have little
knowledge/background in the obstetric field but have witnessed obstetricians
wearing sterile gloves for VE’s in the past.

From recent experience I’ve been told that most obstetricians using
non-sterile gloves and only uses sterile gloves for suturing.

Any comments or views on this matter would be appreciated.

Thank you

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT

Burnside War Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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[Maree Sommerville]

Hello Franciska,

Early Pregnancy

* VE is not usually performed

* Exception: to obtain a PAP smear for women

* Reasons for this may be she has never had one (of which there
are still plenty) or women who may be lost to any follow up (due to poor
social circumstances/addiction issues etc.)

Mid Trimester

* Maybe performed to diagnose cervical shortening but this is
usually done under ultrasound which is a clean procedure

3rd Trimester and in labour

While the vagina is not a sterile area, in obstetric patients there is a
real risk of infection by introduced organisms. Multiple VEs are a risk
for chorioamnionitis/puerperal fever

Rupture of membranes is a sterile procedure, as well as attachment of
foetal scalp electrodes.

As I have mentioned, the vagina is not sterile, so the field is prepared
with obstetric cream which contains chlorhexidine

(http://www.sm2015.org/wmSfiles/products/sm2015/documents/website/GRAVET
T_PLoS_Medicine_Mater_al_Infections_2012.pdf)

At birth:

The accoucheur is receiving a baby that has passed through a non-sterile
area; sterile gloves may not be required.

Women birth in amazing settings at times; back of taxis, at home, in an
ambulance, in water.

They no longer have enemas (as they did when I was a new midwife) so
they can defaecate during delivery.

However, having said that, my organisation uses sterile gloves.

This is because:

* the delivery set is sterile,

* All is in readiness if an episiotomy is required.

Gynae procedures

VE is performed a clean procedure. Sterile gloves are not required
unless there is a more invasive procedure being performed at the same
time (e.g. hysteroscopy)

We use re-usable speculums that have been sterilised.

However, many external practices use disposable speculums that are
described on the packaging as clinically clean (not sterile)

I hope this is some use to you.

I am open to further discussion if others disagree.

Maree

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

(03) 8458 4759

________________________________

Behalf Of Franciska Ferreira

Good morning all,

I was asked the question, whether sterile gloves or non-sterile gloves
should be used when conducting VE’s and Deliveries? I have little
knowledge/background in the obstetric field but have witnessed
obstetricians wearing sterile gloves for VE’s in the past.

From recent experience I’ve been told that most obstetricians using
non-sterile gloves and only uses sterile gloves for suturing.

Any comments or views on this matter would be appreciated.

Thank you

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT

Burnside War Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

________________________________

This email is intended only for the use of the individual or entity
named above and may contain information that is confidential and
privileged. If you are not the intended recipient, you are hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

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discouraged by ACIPC. If you wish to discuss specific reference to
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