Abstract
Objectives: Evaluating the efficiency of prophylactic antibiotic implementation for cesarean section at Binh An Hospital, Quang Nam, and identifying relevant factors.
Materials and Methods: A descriptive cross-sectional study compare the study and control group. Women who indicated for cesarean section at the Department of Obstetrics and Gynecology, Binh An Hospital, Quang Nam from January to March 2023 were included in the study. Group I consisted of 119 patients who were assigned to receive prophylactic antibiotics before cesarean delivery with a single dose of Cefazoline 2 g administered intravenously. The control group (group II) consisted of 142 patients who received conventional antibiotics following cesarean surgery with intravenous Ceftriaxone 1 g x 2 times per day for 5 days. Through clinical examination, cesarean section, and postoperative hospital follow-up, we evaluated and compared the symptoms of postpartum infection and associated variables in these two groups.
Results: There was no difference between the 2 groups in terms of age, occupation, height, weight, BMI, history of cerasean section, gestational age, signs of labor, labor duration before cerasean section, birth weight, and postoperative infections. There were statistically differences between the 2 groups regarding mean age (group I and II, respectively, 29.5 ± 4.6 vs 27.1 ± 4.5, with p < 0.001); hospital stay (group I and II, respectively, 5.36 ± 0.71 days vs 6.09 ± 1.13 days, p < 0.05); geography, and preoerative rupture of membranes.
Conclusion: Comparing prophylactic antibiotics with routine antibiotics after cesarean section at Binh An Hospital, Quang Nam revealed no significant difference in the incidence of postpartum infection during hospitalization. In contrast, group II performed better in terms of minimizing treatment expenses, hospital days, medicine injections, and nursing staff.
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