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6% was not statistically significant (P = 0.42). There were no differences in SSI rates between the elective and non-elective subgroups. Adding azithromycin to the standard antibiotic prophylaxis for cesarean delivery showed no statistically significant reduction in SSI rates in a population with low baseline rates of SSI. Adding azithromycin to the standard antibiotic prophylaxis for cesarean delivery showed no statistically significant reduction in SSI rates in a population with low baseline rates of SSI. Our study assessed the rate o