Infections remain a leading cause of maternal morbidity and mortality in India. While antibiotics prevent sepsis, Group B Streptococcus, and surgical site infections, misuse through empirical prescribing and over-the-counter access drives antimicrobial resistance (AMR). A narrative review highlights that hospital-specific antibiotic policies—aligned with local resistance data, antibiograms, and resources—optimize antibiotic use and improve maternal outcomes. Such frameworks prioritize narrow-spectrum agents, standardized prophylaxis protocols, formulary restrictions, and ongoing audits.
Evidence shows these measures curb broad-spectrum misuse, reduce complications, and enhance neonatal safety. Integrating local epidemiology with national (ICMR, NCDC) and international (WHO, ACOG) guidelines provides a robust stewardship model for obstetric care in India’s diverse healthcare settings. To…
