A Comparative Study of Short Term versus Long Term Administration of Prophylactic Antibiotics in Elective Lower Segment Caesarean Section

2020 ◽  
Vol 7 (36) ◽  
pp. 1933-1937
Author(s):  
Alka Murlidhar Patankar ◽  
Swati Patel ◽  
Prashaant Arun Uikey ◽  
Megha P. Tajne ◽  
Aashima Mittar Garg
Keyword(s):  
Caesarean Section ◽  
Comparative Study ◽  
Prophylactic Antibiotics ◽  
Lower Segment ◽  
Short Term ◽  
Lower Segment Caesarean Section ◽  
Term Administration

scholarly journals Effectiveness and use of prophylactic antibiotics in elective and emergency caesarean section at tertiary care hospital

2020 ◽  
Vol 9 (5) ◽  
pp. 2053
Author(s):  
K. Rama Lingam ◽  
Hari Babu Ramineni ◽  
Shaik Gulshan Firdous ◽  
P. Yamuna ◽  
B. Madhuri ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Antimicrobial Prophylaxis ◽  
Tertiary Care ◽  
Prophylactic Antibiotic ◽  
Febrile Illness ◽  
Prophylactic Antibiotics ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section

Background: Post-operative infections in obstetrics and gynecological settings have been higher compared to other specialties. Women undergoing caesarean section have 5 to 20-fold greater risk for infection compared with vaginal delivery. Many studies reported antimicrobial prophylaxis prevent post-operative infections. Hence this study concentrates the evaluation of the prescribing antimicrobial use and to assess the frequency of post-operative morbidity related to infection in subjects undergoing caesarean section. The aim of the study was to analysis the effectiveness, prophylactic antibiotics (amoxicillin versus ceftriaxone) and to evaluate the post-operative (caesarean) infections in patients undergoing lower segment caesarean section (elective and emergency).Methods: This is a prospective observational study which assessed the effectiveness and use of prophylactic antibiotics in patients undergoing cesarean section at department of obstetrics and gynecology. The study was conducted over a period of one year.Results: The corresponding mean age of all the study population in amoxicillin group (n=113) was 56.5±28.5 and in ceftriaxone group (n=97) was 48.5±26.5 respectively. The participant who underwent previous cesarean section in amoxicillin group is 65.48% similarly in ceftriaxone group is 47.42%. The patients with fetal distress in ceftriaxone group are 14.77% and in amoxicillin group is 8.92%. Failed induction in amoxicillin group is 9.82% and in ceftriaxone group is 6.81%. The number of days in hospital stay in amoxicillin group is 42.42% and in ceftriaxone group is 45.94%. The post-operative complications in amoxicillin group reported, with Febrile Illness are 40% and wound Infection is 60%.Conclusions: Administration of pre-operative antibiotics significantly reduce post-operative infections. Use of ceftriaxone as a prophylactic antibiotic in patients undergoing lower segment caesarean section (elective and emergency) is more effective than Amoxicillin in preventing post-operative infections.

scholarly journals A comparative study of maternal and fetal outcome in trial of labour after caesarean delivery and elective repeat caesarean delivery

2019 ◽  
Vol 8 (3) ◽  
pp. 1171
Author(s):  
Asha Neravi ◽  
Namrata Kulkarni ◽  
M. Usha Brindhini ◽  
V. Udayashree
Keyword(s):  
Caesarean Section ◽  
Comparative Study ◽  
Caesarean Delivery ◽  
Medical Science ◽  
Study Groups ◽  
Fetal Outcome ◽  
Health Concern ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Mode Of Birth

Background: Globally, high rates of caesarean section (CS) are an issue of public health concern. For women who have had a previous caesarean, choices for mode of birth in their next pregnancy are either a trial of vaginal birth after caesarean (TOLAC) or an elective repeat caesarean delivery (ERCD). Both ERCD and TOLAC have benefits and risks associated.Methods: A prospective comparative study was conducted in the Department of Obstetrics and Gynecology at SDM college of medical science and hospital, Dharwad, Karnataka, India. The study included 80 women with one previous lower segment caesarean section over a period of 1 year. A 40 women underwent TOLAC and 40 women had a repeat caesarean section. The maternal and fetal outcomes in trial of labour after caesarean delivery and repeat caesarean delivery were compared.Results: In this study maternal morbidity was more common in ERCD group than in the TOLAC group. Neonatal outcome was the same in both the study groups. Conclusions: In our study the TOLAC success rate was 70-80%, pregnant woman with one previous lower segment Caesarean section should be given the option of TOLAC, unless contraindicated. 

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