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Re: Group B Beta strept screeningFrom: Jomyrwhipt@aol.comFri Jan 28 17:47:25 2000
I am responding to the request for the number of anaphylatic reactions from Pen or Amp in labor...I have had none.... I have also had no newborn deaths as a result of group B strep sepsis either...I did, however, have one baby that was GBS bacteremic in a mother who was GBS negative at 36 weeks. That's my report .... on a controversial subject. At our institution at Columbia University, people are screening for GBS at 36 weeks and treating women who are positive...but the protocol is highly variable from patient to patient. One OB will treat patients who have ever tested positive for GBS (and most of the midwives do the same) and other attendings will only treat GBS if there was a recent 36 week culture positive, or if the mother had a prior infant with GBS sepsis....or a mother with a GBS UTI during that pregnancy.... So, in one institution, the treatment methods are very different. So, therefore, I would imagine that throughout the country and throughout the world, there will be "many ways to skin a cat". A. Todd Miller, MD Maternity Care Coordinator Columbia University Family Medicine jomyrwhipt@aol.com
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