To reduce the high incidence of postoperative infection and morbidity among high-risk indigent patients who underwent primary cesarean section after the onset of labor, prophylactic antibiotics were given to one-half of 80 such patients. In the study group, the number of complications was reduced by one third, the average number of febrile days by one third, and the number of morbid patients by one fifth. Patients who received prophylactic antibiotics were able to leave the hospital three days earlier than those who did not receive antibiotics. In high-risk patients undergoing primary cesarean section after the onset of labor, a course of prophylactic antibiotics appears useful.
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