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Re: OB's and EBM--What do you do? From: art fougner, md (evsono@pipeline.com) Sun Sep 3 09:58:34 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: OB's and EBM--What do you do?" Previous message: art fougner, md: "FRI: Re: One layer uterine closure" In reply to: fran wilson: "Re: OB's and EBM--What do you do?" Next in thread: Dean Huffman .: "Re: OB's and EBM--What do you do?" One diplomatic way to resolve the issue would be to hold a CME event devoted to Group B Strep issues in your medical center. Speakers from OB, Peds, ID and Nursing could be invited to speak and appropriate invitations sent. Art At Sun, 03 Sep 2006, fran wilson wrote: > >At the hospital I use, if you DON'T prophylax unknown GBS status patients, the peds will have them in the nursery with an IV and usually antibiotics pretty quickly after the birth, risk factors, symptoms, etc OR NOT. If the blood cultures come back negative (as almost all do) in 72 hours, they can go home. So in order to avoid the excessive use of force in the newborn nursery, most of us just go ahead and treat. Our pediatricians are a little bit "fascist," as they say. >Fran Wilson CNMKennewick WA > >"If evolution is outlawed, only outlaws will evolve" > >From: DMECNM@aol.comReply-To: ob-gyn-l@obgyn.netTo: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>Subject: Re: OB's and EBM--What do you do?Date: Sat, 2 Sep 2006 21:17:04 -0500 > >In a message dated 9/2/2006 8:09:37 AM Pacific Standard Time, annam@uic.edu writes: >So, my question is: Do y'all treat low-risk GBS-unknown moms in labor,and if so, why? > >Anna, where I work, the preprinted orders say to treat GBS unknown with Ampicillin. Why? I don't know. When I started at this hospital I asked the MDs on call and the answer I got was "We just feel better treating everyone." If I cross out the order the nurse will call the MD on call and get him to give her a verbal order to treat. CDC guidelines have no place here. > >Denise, CNM >So Cal -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Dean Huffman .: "Re: OB's and EBM--What do you do?" Previous message: art fougner, md: "FRI: Re: One layer uterine closure" In reply to: fran wilson: "Re: OB's and EBM--What do you do?" Next in thread: Dean Huffman .: "Re: OB's and EBM--What do you do?"

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