Pre-incision, broad-spectrum antibiotics for caesarean delivery result in a lower rate of maternal morbidity with no disadvantage to the neonate compared to post-clamping administration.
Does pre-incision broad-spectrum antibiotic prophylaxis reduce maternal morbidity compared to post-cord clamping administration in women undergoing caesarean section?
Pre-incision broad-spectrum antibiotics for caesarean delivery lower maternal morbidity without harming the neonate, challenging the traditional practice of post-cord clamping administration.
Please cite this paper as: Lamont R, Sobel J, Kusanovic J, Vaisbuch E, Mazaki‐Tovi S, Kim S, Uldbjerg N, Romero R. Current debate on the use of antibiotic prophylaxis for caesarean section. BJOG 2011;118:193–201. Caesarean delivery is frequently complicated by surgical site infections, endometritis and urinary tract infection. Most surgical site infections occur after discharge from the hospital, and are increasingly being used as performance indicators. Worldwide, the rate of caesarean delivery is increasing. Evidence‐based guidelines recommended the use of prophylactic antibiotics before surgical incision. An exception is made for caesarean delivery, where narrow‐range antibiotics are administered after umbilical cord clamping because of putative neonatal benefit. However, recent evidence supports the use of pre‐incision, broad‐spectrum antibiotics, which result in a lower rate of maternal morbidity with no disadvantage to the neonate.
Lamont et al. (Wed,) conducted a review in Caesarean delivery. Pre-incision, broad-spectrum antibiotics vs. Narrow-range antibiotics after umbilical cord clamping was evaluated on Maternal morbidity. Pre-incision, broad-spectrum antibiotics for caesarean delivery result in a lower rate of maternal morbidity with no disadvantage to the neonate compared to post-clamping administration.