Subject: To compare the efficacy of ceftriaxone before skin incision and after cord clamping in preventing post-operative infectious morbidity in elective caesarean section. Methods: Our study was a randomized controlled trial conducted among 200 women undergoing elective caesarean section in the Obstetrics & Gynecological Department, Babylon Hospital of Babylon government from 8/ 2015 to 10/ 2015. All caesarean section were performed using standard technique. Post-operative care followed standard clinical practice. Group 1: received single dose of ceftriaxone 1 g intravenously 24 hr. before skin incision. Group 2 ::(control) received normal saline 24 hr. before skin incision. Primary outcome measures were maternal post-operative infectious morbidities like surgical site wound infection, febrile morbidity, and urinary tract infections. Conclusion: Pre cesarean antibiotics reduce post operation complications like surgical site wound infection, febrile morbidity, and urinary tract infections.
