Our randomized controlled double blind clinical trail aims to compare maternal and neonatal infectious morbidity between women with meconium-stained amniotic fluid treated with zinacef vs. placebo.
The relationship between meconium staining and chorioamnionitis, as well as neonatal sepsis, has been documented, yet the precise mechanisms remain unclear. Additionally, the correlation between prolonged labor and meconium staining was described in the past. In light of these findings, our randomized controlled double blind trail aims to compare maternal and neonatal infectious morbidity between women with meconium-stained amniotic fluid treated with zinacef vs. placebo. Additionally, we aimed to assess the distribution of pathogens in chorioamnionitic swab cultures relative to the antibiotic treatment
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
182
prophylactic antibiotic treatment with zinacef
I.V SALINE 100 CC X3/d
Galilee Medical center
Nahariya, Israel
RECRUITINGperipartum infections
chorioamnionitis and endometritis
Time frame: 7 days
intrapartum fever
fever \> 38
Time frame: during labor up to 2 hours postpartum
neonatal antibiotic treatment
antibiotic treatment
Time frame: 7 days
NICU admission
neonatal admission to the NICU after delivery
Time frame: 1 week
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