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Antibiotics for Cesarean Effective After Cord Clamping, Better for Baby
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Antibiotics Effective After Clamping Umbilical Cord by Angela Mohan on December 22, 2020 at 3:06 PM
The study, by far the largest of its kind and published in the journal
Antimicrobial Resistance & Infection Control, challenges current recommendations for antibiotic use.
Administering antibiotics after clamping does not increase the risk of infection at the site of C-section incisions, the study concludes. Most national and international guidelines, including those of the World Health Organization, recommend that women receive antibiotics before the skin incision for cesarean section, said co-author Maria Gloria Dominguez-Bello, Henry Rutgers Professor of Microbiome and Health, professor of microbiology and anthropology, and director of the New Jersey Institute for Food, Nutrition, and Health in the School of Environmental and Biological Sciences at Rutgers University-New Brunswick.
Lou Bueno / Flickr cc
The authors of a new study on the timing of antibiotic administration in women undergoing cesarean section say the findings suggest current recommendations should be re-evaluated.
The study, published today in
Antimicrobial Resistance and Infection Control, looked at the rate of surgical-site infections (SSIs) in more than 55,000 pregnant women undergoing cesarean section deliveries who received antibiotics either before the incision, as is currently recommended by the World Health Organization (WHO), or after umbilical cord clamping. The results showed no difference in SSIs between the two groups.
Timing of antibiotics questioned
In the study, researchers from Bern University Hospital in Switzerland, Swissnoso, the Swiss National Center for Infection Control, and Rutgers University analyzed data on 55,901 women who underwent cesarean section at 75 Swiss hospitals from 2009 to 2018. The aim of the study, the largest of its kind to date, was to assess the a
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