Prophylactic antibiotic administration in pregnancy to prevent infectious morbidity and mortality
RHL practical aspects by Bamigboye AA
FIRST CONTACT (PRIMARY CARE) LEVEL
Routine prescription of prophylactic antibiotics is not advisable at this level. All high-risk mothers should be referred to the secondary care level.
REFERRAL HOSPITAL (SECONDARY CARE) LEVEL
For selected (high-risk) mothers, the administration of antibiotics in the second and third trimester of pregnancy is recommended. The selection of antibiotics should take into account those that have been used in trials (metronidazole, erythromycin, and third generation cephalosporins), local resistance patterns and cost implications.
AT HOME OR IN THE COMMUNITY
This document should be cited as: Bamigboye AA. Prophylactic antibiotic administration in pregnancy to prevent infectious morbidity and mortality: RHL practical aspects (last revised: 3 August 2004). The WHO Reproductive Health Library; Geneva: World Health Organization.