Archive | 2019
Comparison Between Uses of Antibiotics as Opposed to no Antibiotics in Clean Episiotomy
Abstract
Introduction: An episiotomy is a surgical incision of the perineum, made to increase the diameter of introitus during child birth. Current study aimed to compare the outcome of clean episiotomy with and without postoperative antibiotic cover. Material and methods: A Randomized control was done in the department of gynecology and obstetrics, combined military hospital Lahore, over a period of six months form 12-05-2009 to 11-11-2009. Total 1000 cases were included in this study (five hundred cases in each group). Mediolateral episiotomy was given to all the patients, interrupted stitches of absorbable suture i.e catgut number, zero applied to all patients. Results: Mean age was 27.4±4.3 with antibiotics. In group A (with antibiotics) 6 patients (1.2%) get infected and 494 patients (98.8%) remained healthy. In group B (without antibiotics) 12 Patients (2.4%) get infected and remaining 488 (97-6%). The complication of episiotomy infection, bruising, swelling, bleeding, extended healing time, haematoma formation, painful scar which may require period remained healthy. In group A, out of the 6(1.2%) infected case, 4(0.8%) women were presented with discharge and pus from the wound and 2 patients (0.4%) with gaped wound. While in group B, out of 12(2.4%) cases, 7 women (1.4%) were having discharge/pus coming out of the wound and 5 patients (1.0%) were having gaped wound. Conclusion: Short term antimicrobial prophylaxis regimen does not possess significant role in preventing clean surgical wound infection role working condition in respect to environment, i.e standard of labour suite, operation theater, expertise and aseptic measures should be improved to achieve better results