A Randomized Controlled Trial of the Effect of Prophylactic Antibiotics on the Infection Rate in Postpartum Third and Fourth Degree Perineal Tear Repairs
Overview
- Phase
- Not Applicable
- Intervention
- Cefotetan or Cefoxitin vs placebo
- Conditions
- Pregnancy Complications, Infectious
- Sponsor
- Stanford University
- Enrollment
- 147
- Locations
- 2
- Primary Endpoint
- No perineal breakdown or infection
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
This study is undertaken to find out whether prophylactic antibiotics can decrease the infection rate in third and fourth degree perineal tear repairs done in the immediate postpartum period.
Detailed Description
After obtaining consent patients who sustained third or fourth degree perineal laceration after vaginal delivery were randomly assigned to a single dose of antibiotic (cefotetan or cefoxitin, 1 g intravenously or clindamycin, 900 mg intravenously, if allergic to penicillin), or placebo (100ml normal saline) intravenously.
Investigators
Eligibility Criteria
Inclusion Criteria
- •third and fourth degree perineal laceration
Exclusion Criteria
- •chorioamnionitis, HIV positive, inflammatory bowel disease
Arms & Interventions
Cefotetan, Cefoxitin or Clindamycin
Intervention: Cefotetan or Cefoxitin vs placebo
Normal Saline
Intervention: Cefotetan or Cefoxitin vs placebo
Outcomes
Primary Outcomes
No perineal breakdown or infection
Time Frame: Six weeks post partum