Procedure | Recommended Antibiotics and Comments |
Caesarean section Manual removal of placenta Assisted or forceps delivery |
Co-amoxiclav IV 1.2g If penicillin allergy: Clindamycin IV 600mg + Gentamicin IV as per Gentamicin prophylactic dosing table. |
Repair of 3rd or 4th degree perineal tears |
Amoxicillin IV 1g + Metronidazole IV 500mg + Gentamicin IV as per Gentamicin prophylactic dosing table. If penicillin allergy: Teicoplanin IV 400mg + Metronidazole IV 500mg + Gentamicin IV as per Gentamicin prophylactic dosing table. |
Surgical management of miscarriage Surgical termination of pregnancy |
None - operating team administer single dose metronidazole PR. |
Cervical cerclage |
Not recommended |
Guideline reviewed | March 2024 |
Page updated | September 2024 |