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Re: OB: GBS and advanced dilatation From: Meenan, Anna (annam@uic.edu) Wed Sep 13 22:58:35 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Stmidwife@aol.com: "Subject: stem cells from umbilicals cord" Previous message: Larry Glazerman: "Re: epidural and food" In reply to: Garry E. Siegel, M.D.: "OB: GBS and advanced dilatation" Next in thread: S. H.: "Re: OB: GBS and advanced dilatation" Reply: S. H.: "Re: OB: GBS and advanced dilatation" How about PenVK 500 BID til 39 wks (if she goes that long), then bring her in at 39 wks, give one dose of IV Pen and break her bag 4 hours later as you are starting the second dose. Anna Meenan, MD >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: Stmidwife@aol.com: "Subject: stem cells from umbilicals cord" Previous message: Larry Glazerman: "Re: epidural and food" In reply to: Garry E. Siegel, M.D.: "OB: GBS and advanced dilatation" Next in thread: S. H.: "Re: OB: GBS and advanced dilatation" Reply: S. H.: "Re: OB: GBS and advanced dilatation"

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