Conclusion
Compared to the SHEA/IDSA international guidelines for women who delivered by c-section, our data show large deviations in antibiotic prescribing practices both pre and post-operatively, as well as among different prescribers. Our findings raise questions on whether insisting on a single pre-operative antibiotic dosing regimen, established based on research in developed settings, oversimplifies the challenges of providing optimal care for women undergoing a c-section in this environment. More data is needed to guide development of area-specific guidelines that are both effective and feasible. Furthermore, studies exploring the rationale of antibiotic prescribing decisions, those assessing the effect of over-prescription on infection prevention, and those tracking evolving antibiotic sensitivity are recommended to guide evidence-based antibiotic prescription practices.