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Re: GBS and advanced dilatation From: Larry Glazerman (l.glazerman@rcn.com) Wed Sep 13 22:36:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: epidural and food" Previous message: Braun, R. Daniel: "Live Webcast: da Vinci Hysterectomy" In reply to: Garry E. Siegel, M.D.: "OB: GBS and advanced dilatation" Next in thread: Meenan, Anna: "Re: OB: GBS and advanced dilatation" On one or two occasions similar to this, I've given the patient PO PCN or AMP until labor begins. No scientific basis, but it's made me and the patients sleep better (although not as well as I'm sleeping now, since giving up ob :)) -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC 610-402-0161 l.glazerman@rcn.com -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, September 13, 2006 5:34 PM To: Multiple recipients of list OB-GYN-L Subject: OB: GBS and advanced dilatation 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 Next message: Larry Glazerman: "Re: epidural and food" Previous message: Braun, R. Daniel: "Live Webcast: da Vinci Hysterectomy" In reply to: Garry E. Siegel, M.D.: "OB: GBS and advanced dilatation" Next in thread: Meenan, Anna: "Re: OB: GBS and advanced dilatation"

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