Endometritis Clinical Trial
Official title:
Prophylactic Antibiotics for Manual Removal of Retained Placenta in Vaginal Birth
Background: There is scarce evidence regarding the necessity of antibiotic prophylaxis in
manual revision of the uterus after labor in cases of residual placenta.
Methods: a randomized control trial in which parturients for which the placenta was not
separated or there is a suspected residual placenta will be divided randomly to two groups:
(1) Revision of uterus or Manual lysis without antibiotic prophylaxis; (2) Revision of
uterus or Manual lysis with antibiotic prophylaxis as following: 24 hours coverage with
Ampicillin 2 grams*4, Gentamycin 240 mg*1, Clindamycin 600 mg*3. In cases of allergy to
Penicillin the antibiotic regimen will be: Gentamycin 240 mg*1, Clindamycin 600 mg*3.
Outcomes: Puerperal fever, endometritis, length of hospitalization after labor, recurrent
hospitalization in the first 2 weeks after discharge.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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