It is reasonable to consider antibiotic prophylaxis against bacterial endocarditis before vaginal delivery, with rupture of the amniotic sac, in the case of patients at high risk like those who have mechanical cardiac valves, cyanotic congenital heart disease without correction, or those corrected with shunts class IIA, C level of evidence 20.
Es razonable considerar la profilaxis antibiótica contra la endocarditis infecciosa, antes del parto vaginal, en el momento de la ruptura de membranas, en el caso de las pacientes con alto riesgo, como quienes presentan válvulas cardiacas mecánicas o cardiopatías cianóticas sin reparar, o reparadas con shunt nivel de evidencia C, clase IIa 20.