Manual removal of the placenta

Prophylaxis not routinely indicated.

 

NB:  There is insufficient evidence for or against use of prophylactic antibiotics for manual removal of the placenta.

 

Regimen(s) of Choice
See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration
If complicated removal, optional:
   
[ Cefazolin 2g IV x 1 pre-op dose
or    
Cephalexin]  1g PO x 1 pre-op dose
+    
Metronidazole 500mg PO  x 1 pre-op dose