阴道分娩时手动剥离胎盘预防性使用抗生素。
Prophylactic antibiotics for manual removal of retained placenta in vaginal birth.
作者信息
Chongsomchai Chompilas, Lumbiganon Pisake, Laopaiboon Malinee
机构信息
Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Mittraphab Road, Khon Kaen, Thailand, 40002.
出版信息
Cochrane Database Syst Rev. 2014 Oct 20;2014(10):CD004904. doi: 10.1002/14651858.CD004904.pub3.
BACKGROUND
Retained placenta is a potentially life-threatening condition because of its association with postpartum hemorrhage. Manual removal of placenta increases the likelihood of bacterial contamination in the uterine cavity.
OBJECTIVES
To compare the effectiveness and side-effects of routine antibiotic use for manual removal of placenta in vaginal birth in women who received antibiotic prophylaxis and those who did not and to identify the appropriate regimen of antibiotic prophylaxis for this procedure.
SEARCH METHODS
We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 July 2014).
SELECTION CRITERIA
All randomized controlled trials comparing antibiotic prophylaxis and placebo or non antibiotic use to prevent endometritis after manual removal of placenta in vaginal birth.
DATA COLLECTION AND ANALYSIS
There are no included trials. In future updates, if we identify eligible trials, two review authors will independently assess trial quality and extract data
MAIN RESULTS
No studies that met the inclusion criteria were identified.
AUTHORS' CONCLUSIONS: There are no randomized controlled trials to evaluate the effectiveness of antibiotic prophylaxis to prevent endometritis after manual removal of placenta in vaginal birth.
背景
胎盘滞留因与产后出血相关，是一种潜在的危及生命的情况。人工剥离胎盘会增加宫腔细菌污染的可能性。
目的
比较接受抗生素预防和未接受抗生素预防的产妇在阴道分娩时人工剥离胎盘后常规使用抗生素的有效性和副作用，并确定该操作合适的抗生素预防方案。
检索方法
我们检索了Cochrane妊娠与分娩组试验注册库（2014年7月31日）。
选择标准
所有比较抗生素预防与安慰剂或不使用抗生素以预防阴道分娩人工剥离胎盘后子宫内膜炎的随机对照试验。
数据收集与分析
无纳入试验。在未来更新中，如果我们确定符合条件的试验，两位综述作者将独立评估试验质量并提取数据。
主要结果
未识别出符合纳入标准的研究。
作者结论
尚无随机对照试验来评估抗生素预防对预防阴道分娩人工剥离胎盘后子宫内膜炎的有效性。
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