1 Tita AT

Szychowski JM

Boggess K

et al. Adjunctive azithromycin prophylaxis for cesarean delivery.

A randomised controlled trial recently reported by Tita and colleaguesin the New England Journal of Medicine found that azithromycin, given in addition to a standard cephalosporin prophylaxis before incision for cesarean births, reduced maternal infections without affecting neonatal outcomes. However, the authors did not discuss potential neonatal dysbiosis from perinatal antibiotic exposure, the consequences of which might have long-lasting implications.