Prophylactic antibiotics for manual removal of retained placenta in vaginal birth.
BACKGROUND
Retained placenta is a potentially life-threatening condition because of its association with postpartum haemorrhage. Manual removal of placenta increases the likelihood of bacterial contamination in the uterine cavity.


OBJECTIVE
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.


METHODS
We searched the Cochrane Pregnancy and Childbirth Group Trials Register (30 November 2005), CENTRAL (The Cochrane Library, Issue 4, 2005), MEDLINE (from 1966 to January 2005), EMBASE (from 1980 to January 2005), CINAHL (from 1982 to January 2005) and LILACS (from 1982 to January 2005).


METHODS
All randomized controlled trials comparing antibiotic prophylaxis and placebo or non antibiotic use to prevent endometritis after manual removal of placenta in vaginal birth.


METHODS
If eligible trials were to be identified, trial quality would be assessed and data would be extracted, unblinded by two review authors independently.


RESULTS
No studies that met the inclusion criteria were identified.


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.
Chongsomchai
C
C
Khon Kaen University, Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen, Thailand, 40002. cchomp@kku.ac.th
Lumbiganon
P
P
Laopaiboon
M
M
D019072:Antibiotic Prophylaxis; D005260:Female; D006801:Humans; D018457:Placenta, Retained / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000517:prevention & control*; D011247:Pregnancy; D011645:Puerperal Infection / Q000209:etiology / Q000517:prevention & control*