Obstetric procedures

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



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