Re: Group B Strep
From: Andrew Folley (agfolley@hotmail.com)
Fri Dec 2 14:37:20 2005
I agree the CS rateat least in industrialized countrie3s is heading up with
no end in sight. MFMs are our level III hospital are arguing for elective
c-sections for all women. andrew
>From: "Jefferson Delfino" <dr.jefferson@uol.com.br>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re:Group B Strep
>Date: Fri, 2 Dec 2005 15:06:38 -0600
>
>In matter of fact this rate occurs at private hospital. The right one is
>around (official) 34% at all.
>By the way No one can show the problem with C/S. I use to say that: we only
>can face trobles when the C/S is properly indicated.
>Here a lot of Gyn/Ob considerer vagina a noble part of body and to avoid
>scars, urinary incontinecy, etc.
>I think the number of C/S will increase very muchall around the wrold. It,s
>a very good surgery and safe. We are walking fast for a one or two babies
>for families, pregnancies are coming late for the women, well C/S is a good
>think.
>I know when I say this all of you think we are losting ours mind, but
>sometimes we can be right.
>At least, but not last that is a good test even for C/S, you don't think
>so?
>Jefferson
>
>---------- Início da mensagem original -----------
>De: ob-gyn-l@obgyn.net
>Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@dns.obgyn.net
>Cc:
>Data: Fri, 2 Dec 2005 13:28:25 -0600
>Assunto: Re:Group B Strep
> > Jefferson
> > I thought Brazil had a C-section rate approaching 80%??? Do you still do
> > GBS screens at 36 weeks?andrew
> >
> > >From: "Jefferson Delfino"
> > >Reply-To: ob-gyn-l@obgyn.net
> > >To: Multiple recipients of list OB-GYN-L
> > >Subject: Re:Group B Strep
> > >Date: Thu, 1 Dec 2005 09:26:24 -0600
> > >
> > >Here I used to do the test regularly around the 36 w, twins, risk
> > >pregnancy.
> > >Sorocaba city - SP - Brazil
> > >
> > >Jefferson Delfino MD
> > >
> > >---------- Início da mensagem original -----------
> > >De: ob-gyn-l@obgyn.net
> > >Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@dns.obgyn.net
> > >Cc:
> > >Data: Wed, 30 Nov 2005 16:53:09 -0600
> > >Assunto: Group B Strep
> > > > I can't answer for other places, but I know that, wherever I have
>been,
> > > > Group B strep has always been of interest even if not a routine
> > > > investigation. Thus if someone asked for the test to be done it
>would
> > > > be, if facilities were available. In my last hospital the lab would
> > > > have been able to culture it on an ad hoc basis but didn't have the
> > > > facilities to screen large numbers, whereas where I am now efforts
>are
> > > > made to swab everyone at 36 weeks. Would someone be able to sue
> > > > successfully in another country? I doubt it, because the lawyers and
> > > > expert witnesses would not regard it as a breach if it were not
>standard
> > > > of care in the host country.
> > > >
> > > > Steve
> > > >
> > > > ________________________________
> > > >
> > > > ________________________________
> > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Elrod
> > > > Darryl G MAJ 48 MDOS/SGOBO
> > > > Sent: Wednesday, 30 November 2005 7:22 PM
> > > > To: Multiple recipients of list OB-GYN-L
> > > > Subject: RE: Dr.Klein, where are you
> > > >
> > > > Steve,
> > > >
> > > > I'm curious about something in that statement. Knowing that in the
>US
> > > > it is standard of care to test for and to treat GBS, what would you
>say
> > > > to a relative that moved to a country that did not practice along
>those
> > > > same lines?
> > > >
> > > > It is that way in at least a few of our host nations where our
>service
> > > > women and dependants are seen. Should that be seen as a breech of US
> > > > standards, or just being assimilated into their culture and
>practices
> > > > and deemed an acceptable risk as we are in their country?
> > > >
> > > > Glen
> > > >
> > > > ________________________________
> > > >
> > > > ________________________________
> > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> > > > Raymond Stephen
> > > > Sent: Wednesday, November 30, 2005 1:17 AM
> > > > To: Multiple recipients of list OB-GYN-L
> > > > Subject: RE: Dr.Klein, where are you
> > > >
> > > > The difference between obstetrics in the USA and that in Britain
>comes
> > > > down to a fundamental difference in the organisation of medicine in
>the
> > > > two countries - socialised medicine (the NHS) and capitalist
>medicine.
> > > > Despite all its faults the NHS allows for an integration of
>obstetrics
> > > > into a model which covers all needs under one organisation. The
>thread
> > > > about GBS highlights the fact that different societies have
>different
> > > > rates of Streptococcal colonisation, and what is appropriate in one
> > > > country is not in another.
> > > >
> > > > Steve
> > > >
> > > > ________________________________
> > > >
> > > > ________________________________
> > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Henry
> > > > Gregor
> > > > Sent: Wednesday, 30 November 2005 12:02 PM
> > > > To: Multiple recipients of list OB-GYN-L
> > > > Subject: Re: Dr.Klein, where are you
> > > >
> > > > Amen! Clearly Zach is correct in noting the degradation of this
>topic to
> > > > trivial responses, which is not the same as saying the thread topic
>is
> > > > trivial. However, it is an apples and orange thing to compare
>practices
> > > > from two different venues w/o noting (albeit sadly, no doubt) that
>what
> > > > occurs in one place or the other is not free of the cultural, legal
>and
> > > > other sociological factors that impact on the process. Gosh, I'd
>like to
> > > > do midwifery in GB, with a social compact society that accepts both
>the
> > > > advantages and any possible disadvantages inherent to the process.
>For
> > > > the many reasons noted earlier, that practice model doesn't work
>here.
> > > > To say folks should work for change is admirable, though it is not
> > > > gonna' happen...perhaps we should all think "Serenity Prayer"
>here..as
> > > > in Lord give me the wisdom to...etc., etc. (I suspect most
>respondents
> > > > have no trouble acknowledging the aptness of the prayer.)
> > > >
> > > > We might all remember the line re a fa! natic being one who cannot
>stop
> > > > talkiing about a subject and who cannot change the subject. Gail, I
>hope
> > > > you ultimately do well without your nicotine.
> > > >
> > > > Hank
> > > > RModugno@aol.com wrote:
> > > >
> > > > In a message dated 11/29/2005 7:00:47 PM Eastern Standard Time,
> > > > ricechaz@gorge.net writes:
> > > >
> > > > I wouldn't jump to the assumption that anyone posting
> > > > here is guilty of trivializing our patients problems.
> > > >
> > > > Especially Zach Newton!
> > > >
> > > > Robert Modugno MD MBA FACOG
> > > >
> > > > Marietta, GA
> > > >
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