Abstract
In Reply.— The ACOG guidelines are not intended to be restrictive; their purpose is to emphasize the practices that can be expected to provide the most favorable outcomes. However, the mere fact of a previous cesarean section places the woman in a risk category requiring the kind of surveillance and readiness that are simply not available in a 55-bed hospital that has no blood bank, no anesthesiologist, no obstetrician, and no 24hour obstetric nursing coverage. Under these circumstances, a planned trial of labor for women with a previous cesarean section is not appropriate. It is agreed that prophylactic antibiotics are not indicated for cesarean section patients unless they are at risk of infection. Also, it appears to be the consensus that for those who are at risk, both aerobic and anaerobic coverage is needed. Cefazolin, which is clearly superior to placebo, is primarily an antiaerobic antibiotic. In the review, cefoxitin
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
