Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial
SAMY, M., Salah El-din, A., Mohamud, N., Elkady, M. (2025). Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial. EKB Journal Management System, 29(1), 57-66. doi: 10.21608/egyfs.2025.409769
MOHAMMED M. SAMY; Adel S. Salah El-din; Naima F. Mohamud; Marwan O. Elkady. "Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial". EKB Journal Management System, 29, 1, 2025, 57-66. doi: 10.21608/egyfs.2025.409769
SAMY, M., Salah El-din, A., Mohamud, N., Elkady, M. (2025). 'Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial', EKB Journal Management System, 29(1), pp. 57-66. doi: 10.21608/egyfs.2025.409769
SAMY, M., Salah El-din, A., Mohamud, N., Elkady, M. Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial. EKB Journal Management System, 2025; 29(1): 57-66. doi: 10.21608/egyfs.2025.409769

Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 1 - Serial Number 11106352, January 2025, Page 57-66  XML PDF (241.64 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.409769
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Authors
MOHAMMED M. SAMY email 1; Adel S. Salah El-dinorcid 1; Naima F. Mohamud2; Marwan O. Elkady1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2Department of Obstetrics and Gynecology, Faculty of Medicine, Benadir University, Somalia, Egypt (M.B.B.ch)
Abstract
Background: Antibiotic prophylaxis may lower the inci-dence of wound infections following an episiotomy, espe-cially in circumstances like midline episiotomy, incision extension, or environments with a high baseline risk of infection following vaginal delivery, which are linked to a higher risk of postpartum perineal infection. Neverthe-less, there is conflicting data at this time about the benefit of prophylactic antibiotics in avoiding infections after an episiotomy.   
Objective: Evaluation of whether regular prophylactic antibiotic medication to women after an uncomplicated vaginal delivery, as opposed to not administering any an-tibiotic prophylaxis, lowers postpartum maternal infec-tious morbidities and improves outcomes.  
Methods: A total of 200 pregnant women with who un-derwent elective episiotomy repair were enrolled and di-vided into two equal groups; study group received oral antibiotics in a dose of 625gm twice daily for 3 days af-ter delivery and control group didn't receive postpartum antibiotics. We followed up her through a telephone call weekly for 6 weeks asking about fever, discharge, vaginal pain, dysuria, vulval swelling, redness and pelvic pain. Maternal readmission to hospital, puerperal sepsis, uri-nary tract infection, endometritis, serious infectious com-plications was compared between study groups.   
Results: No differences were noted between study groups regarding all study parameters. Routine antibiotics after episiotomy had no role in prophylaxis against wound complications, maternal fever, puerperal infection and maternal readmission. 
Conclusion: Administration of prophylactic systemic an-tibiotic post episiotomy is not effective to prevent wound infection.

Keywords
Keywords: Surgical Site Infection; Episiotomy; Postpar-tum Antibiotic. 
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