Re: 12 hour PROM and GBS

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Sep 29 21:44:21 2008


At Mon, 29 Sep 2008, Andrew Folley wrote: >
>Midwife asks me if OK to start antibiotics on 40 week G1P0 in labor because she has been ruptured 12 hours. GBS status is negative. I say do it if you like but its not for GBS prophylaxis. Midwife states that our one MFM says that studies show better outcome for babies given antibiotics when PROM present for 12 hours. Anyone know of any studies which support this???>

There is no reason to give that patient antibiotics unless treating for suspected amnionitis, or using a risk factor based approach for GBS (and she's negative, so that doesn't apply).

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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