Abstract:

Background: Caesarean section (C/S) is the most common major operation performed in obstetrics it has been found to increase rates of maternal infectious morbidities five times more than vaginal delivery. Provision of antibiotic prophylaxis for C/S before skin incision reduces chances of postpartum infections. The main target of the study was to determine adherence to hospital guideline and common antibiotic prophylaxis for C/S at BMC.

Method: Retrospective descriptive research design was used in this study. The procedure involved taking the list of women who undergone caesarean section Obstetrics and Gynaecology ward record. Then review the files from medical records to obtain socio-demographic characteristics, the surgical procedure used, and the prophylaxis antibiotic used, by filling data in a designed form from January to April 2020. Data entered to Epicollect5, then from Epicollect5 were transferred to the Microsoft Excel 2016 for data cleaning. Data were exported to SPSS version 20 for analysis.

Results: The study of 551 files of women undergone C/S, the results show that the commonly used antibiotics used antibiotics were metronidazole (15.5%) and ceftriaxone (12.4%). On this study, out of 551 women files, 324 (58.8%) received antibiotic prophylaxis while 227 (41.2%) who did not receive any antibiotic.

Conclusion: From this study metronidazole and ceftriaxone were most given antibiotic prophylaxis as indicated in the hospital guideline. The study also shows that most of the antibiotics were not given before C/S as recommended from the hospital guideline and some were not given at all, this shows little adherence to hospital guideline.