Re: Group B Beta strept screening

From: Gibbons, John (JGibbons@stfranciscare.org)
Sat Jan 29 15:39:35 2000


> ----------

On Jan 28, Todd Miller wrote:

> 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
>

What is the policy covering antibiotic administration to GBS positive elective repeat cesarean sections?

John Gibbons





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:43:29 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.