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Antibiotic prophylaxis for women undergoing caesarean section (CS) has been proven to be beneficial in decreasing post-CS infectious morbidity in women at high-risk (in labour after membrane rupture), as well as low-risk (non-labouring with intact membranes).1 Evidence-based guidelines recommend the use of prophylactic antibiotics before surgical incision. An exception is made for CS, where narrow-range antibiotics are administered after umbilical cord clamping because of putative neonatal benefit. The use of preincision, broad-spectrum antibiotics may result in a lower rate of maternal morbidity with no disadvantage to the neonate.2 This systematic review and meta-analysis examines the maternal and neonatal …
Competing interests None.
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