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Re: OB: GBS--recent case From: jm (jmtd1@yahoo.es) Wed Jan 26 00:14:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: jm: "Part of Parents' Obesity Suit Against McDonalds Revived" Previous message: Anna Meenan, MD: "Re: GYN: 40-somethings (long)" Maybe in reply to: Garry E. Siegel, M.D.: "OB: GBS--recent case" Next in thread: Kaycnm@aol.com: "Re: OB: GBS--recent case" We use prophylactic ampicilline i.v. when we don´t know GBS results or time of ROM or , just knowing the exact time of ROM, the birth, due to the obstetrical conditions, is presumed to delay several hours. José M. Torreblanca Doblas ObGyn Melilla Spain -------Mensaje original------- De: ob-gyn-l@obgyn.net Fecha: 01/26/05 04:32:21 Para: Multiple recipients of list OB-GYN-L Asunto: OB: GBS--recent case 26 YO P1001 at 38 weeks has been a bit haphazard in prenatal visits. First pregnancy term, uncomplicated SVD or 8-15 ounces. This pregnancy, seen at 34 weeks, then 37.5 on a Thursday, and GBS culture done. Results not available when she presented. Saturday has PROM at noon without labor, received cytotec ripening at 8 PM for cervix of 1 cm/long/high {arrived L and D at 6 PM, called at 2 PM} followed by Pitocin 4 hours later when 2/80/-a lot. FHR normal, afebrile. At 6 AM, i.e. 18 hours ROM, PCN begun. FHR a bit tachcardic in 150s and a little in the 160s, recurrent lates with hyperstim. Pit off, oxygen on, cervix maybe 3 cm., still high, baby recovers. Pit restarted, and after 30 minutes, recurrent lates--C/S done, good baby and Apgars. Postop 2, baby feeds poorly, gets worked up, blood cultures gram positive cocci. GBS culture positive. Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: jm: "Part of Parents' Obesity Suit Against McDonalds Revived" Previous message: Anna Meenan, MD: "Re: GYN: 40-somethings (long)" Maybe in reply to: Garry E. Siegel, M.D.: "OB: GBS--recent case" Next in thread: Kaycnm@aol.com: "Re: OB: GBS--recent case"

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