By Abdul Qadir Qureshi (Pakistan News & Features Services) New international guidelines on how to provide treatment for women having miscarriage surgery are needed after a large-scale international trial has provided new evidence. The trial, published in the New England Journal of Medicine, involved thousands of women at hospitals across four low and middle income countries, including the Aga Khan University Hospital in Karachi and 12 other hospitals across Malawi, Tanzania and Uganda. The findings of the study show that administering antibiotics prior to miscarriage surgery had a possible benefit when pelvic infection was defined by global standards. “Before the trial we had no idea what the right thing was, to reduce the serious complication of pelvic infection. We finally now have the highest quality evidence that a single, cheap, preventative dose of two commonly available antibiotics was not only safe but also appeared to reduce pelvic infectio...
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