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Re: OB's and EBM--What do you do? From: Dean Huffman . (dean@thehuffpeople.net) Sun Sep 3 10:01:08 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: OB's and EBM--What do you do? [Follow Up]" Previous message: art fougner, md: "Re: OB's and EBM--What do you do?" Maybe in reply to: Anna Meenan, MD: "OB's and EBM--What do you do?" Next in thread: Meenan, Anna: "Re: OB's and EBM--What do you do?" Reply: Meenan, Anna: "Re: OB's and EBM--What do you do?" .. At a hospial in Kalamazoo, where I happily no longer practice, their policy was to treat anybody who EVER had a positive culture for GBBS in any previous pregnancy. No questions, no exceptions. I pointed out to them that since almost all women have had GBBS at one time or another, whether pregnant or not pregnan. Therefore it would be easier, and less expensive (for purposes of doing cultures), to just treat EVERY pregnant women and not waste time on doing any cultures. They did not see the humor or the logic in this suggestion. By the way, does anybody have a copy of the American College of Pediatrics (or whatever group it is) policy on GBBS? How about AAFP? If you could send me the document (dean@thehuffpeople.net) or a URL where I can obtain the document, I would appreciate it. Dean Huffman - - - - - 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 CNM Kennewick WA "If evolution is outlawed, only outlaws will evolve" -------------------------------------------------------------------------------- From: DMECNM@aol.com -------------------------------------------------------------------------------- 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 Next message: Dean Huffman .: "Re: OB's and EBM--What do you do? [Follow Up]" Previous message: art fougner, md: "Re: OB's and EBM--What do you do?" Maybe in reply to: Anna Meenan, MD: "OB's and EBM--What do you do?" Next in thread: Meenan, Anna: "Re: OB's and EBM--What do you do?" Reply: Meenan, Anna: "Re: OB's and EBM--What do you do?"

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