Antibiotic prophylaxis for operative vaginal delivery
Tippawan Liabsuetrakul1, Thanapan Choobun, Krantarat Peeyananjarassri
1Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand, 90110.
The Cochrane Database of Systematic Reviews
|October 14, 2014
Summary
Antibiotic prophylaxis may reduce postpartum infections after operative vaginal delivery, but current evidence is limited. More research is needed to confirm the benefits of antibiotics for vacuum or forceps-assisted births.
Area of Science:
- Obstetrics and Gynecology
- Infectious Disease Prevention
- Evidence-Based Medicine
Background:
- Operative vaginal deliveries (vacuum or forceps) are associated with increased postpartum infection risk.
- Prophylactic antibiotics are sometimes used, but their efficacy for these procedures remains uncertain.
Purpose of the Study:
- To evaluate the effectiveness and safety of antibiotic prophylaxis in preventing infectious puerperal morbidities in women undergoing operative vaginal delivery.
Main Methods:
- A systematic review of randomized controlled trials was conducted.
- One trial involving 393 women undergoing vacuum or forceps delivery was included in the analysis.
Main Results:
- A trend towards reduced endomyometritis was observed with prophylactic antibiotics (Risk Ratio 0.07; 95% CI 0.00 to 1.21), though not statistically significant.
- No significant difference in maternal length of hospital stay was found between groups.
- The quality of evidence for endomyometritis and length of stay was rated as low.
Conclusions:
- Available data are insufficient to recommend antibiotic prophylaxis for operative vaginal delivery.
- Further research is required to determine the utility of prophylactic antibiotics in reducing postpartum morbidity.
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