Obstetric Procedures

Obstetric procedures

Procedure

Recommended Antibiotics and comments

Caesarean section

Manual removal of placenta

Assisted or forceps delivery

Co-amoxiclav 1.2g IV

If penicillin allergy:

Clindamycin 600mg IV + Gentamicin IV as per General Principles and gentamicin dosing table

Repair of 3rd or 4th degree perineal tears

Amoxicillin 1g IV + Metronidazole 500mg IV + Gentamicin IV as per table

If penicillin allergy: Teicoplanin 400mg IV + Metronidazole 500mg IV + Gentamicin IV as per General Priniciples and gentamicin dosing table

Surgical management of miscarriage

Surgical termination of pregnancy

none - operating team administer Metronidazole PR

Cervical cerclage

not recommended