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Re: SROM and GBS+From: D. Ashley Hill (dahmd@cfl.rr.com)Wed Nov 30 21:24:41 2005
At Wed, 30 Nov 2005, Betsy Hyde wrote: > >for hospital based providers : >I am interested in management decisions for SROM, clear fluid, term >pregnancy, GBS+, no labor: > >1) when do you initiate antibiotics? At admission to hospital.
> After discussion of risks, benefits, alternatives with patient, usually soon after admission.
>3) do you have evidence to support your management? Several studies show decrease interval to delivery, increased patient satisfaction, and decreased neonatal and maternal infection rates (while other studies show no differences). The TERMPROM study and a recent BMJ article are both useful. Using the search terms "PROM induction" in PubMED provides several articles of interest.
>4) does time of day influence your management plan? Nope. I'm here for 24 hours. But, even if it did, I wouldn't admit it on an archived Internet forum :) Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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