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OB: GBS and advanced dilatationFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Sep 13 16:32:00 2006
33 YO P2002, now at 37 weeks, has had 2 SVDs, the last of which was quick--around 1-3 hours after hospital arrival. This pregnancy, she is GBS positive, having been negative the last two. She is 4-5 cm/50%, and very worried about GBS. We discussed the neonatal implications of delivering with no antibiotics (i.e. she walks in and delivers rapidly), or what happens if she gets only one versus two doses of Pencillin. Of course, I explained that the attack rate is very low, and that even "full" dosing only prevents early onset disease around 50% of the time. She is open to about anything, and we've made a plan, though I have just thought of another option while typing that I previously didn't consider. Any thoughts? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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