الفهرس 
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Abstract
Liberalized indications, for cesarean section, have resulted in a dramatic rise in the number of cesarean deliveries, in the past 20 years (Bottoms et al., 1980).
The corresponding improvement, in perinatal mortality, has been somewhat tarnished by the exposure of increasing numbers of women to postoperative morbidity.
Most attempts to reduce the postoperative morbidity have centered around the use of parenteral antibiotics.
These attempts have met with encouraging, but limited, success (Gibbs et al., 1972).
Long et al. (1980) and Rudd et al. (1981) demonstrated the efficacy of intrauterine irrigation with a broad spectrum antibiotic (Cephalosporin) in markedly reducing puerperal endometritis and febrile morbidity.
In the absence of anti-infective agents, the basis for treatment was prevention, with emphasis on meticulous sterile techniques and infrequent examinations of the genital tract, in the hope that host defence mechanism would prove adequate in dealing with the bacteria introduced into operative sites during obstetric procedures.