543: Choice of prophylactic antibiotics and wound complication after cesarean delivery

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Cesarean Section and Prophylactic Antibiotics

Infectious morbidity remains a leading cause of postoperative complications following caesarean delivery. The major infectious complications of caesarean delivery are fever, wound infection, endometritis and urinary tract infection. Postoperative surgical site infection remains a major source of illness and a less frequent cause of death in the surgical patient. The administration of prophylact...

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Cesarean delivery: counseling issues and complication management.

Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery include avoiding non-medically indicated induction of labor, avoiding amniotomy, and having a doula present. In Nort...

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Prophylactic use of antibiotics for nonlaboring patients undergoing cesarean delivery with intact membranes: a meta-analysis.

OBJECTIVE We performed a meta-analysis to examine the role of antibiotic prophylaxis in preventing postoperative infections among nonlaboring women undergoing cesarean delivery with intact membranes. STUDY DESIGN A computerized literature search was performed with MEDLINE. Studies were included if they contained data on patients undergoing cesarean delivery in the absence of labor and rupture...

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PROPHYLACTIC ANTIBIOTICS IN CESAREAN SECTION: A DOUBLE BLIND AND RANDOM STUDY ON 210 IRANIAN WOMEN

210 Iranian women participated in a study in two main categories (comprising six subgroups) for comparison of prophylactic antibiotic prescription by the intravenous route with the irrigation method together with control subgroups. Interesting results from our study were: 1- There was no significant statistical difference between subgroups with regard to infectious morbidity. 2- The rate ...

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Patient choice cesarean delivery: ethical issues.

PURPOSE OF REVIEW We have recently identified three salient questions within the patient choice cesarean delivery controversy. First, is performing cesarean delivery on maternal request consistent with good professional medial practice? Second, how should physicians respond to or counsel patients who request patient choice cesarean delivery? Third, should patient choice cesarean delivery be rou...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2018

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2017.11.070