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Re: Group B Beta strept screening From: Larry Glazerman (l.glazerman@rcn.com) Mon Jan 31 06:35:01 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry Siegel: "Re: VBAC, Three previous CS." Previous message: Larry Glazerman: "Re: Group B Beta strept screening" Part of the problem I have with that is the assumption (which we all use) that if a culture is negative at 36 weeks, then there won't be colonization 4 weeks later, at delivery. Until we have a rapid screening test that is reliable, I'll continue to be aggressive with treatment, and treat people with a positive culture in a prior pregnancy, just as I'd treat them if their culture was positive 4 weeks ago.. At 07:03 AM 1/28/00 -0600, you wrote: > Neither the CDC guidelines or the ACOG Committee Opinion(2000 Compendium of >selected Publications Pg 196) recommend that strategy. >The say that all women with a previously GBBS affected infant and all women >with a GBBS bacteriuria in the CURRENT pregnancy should be treated. Nowhere >do they say that a woman who was positive in a previous pregnancy should be >treated. In fact awoman who was cultured at 20 weeks (I don't know why >anyone would but if they did) and found to be positive should be re cultured >at 36 weeks. Many of them will be negative and don't need to be treated. > >Dan > >R. Daniel Braun, MD FACOG >Clinical Professor >Department of Obstetrics and Gynecology >Indiana U. School of Medicine >Indianapolis, IN 46202 > >OBGYN.net >International Representative for United States > >Certified AllExperts Expert >Check out my bio/ratings page! >http://www.allexperts.com/displayExpert.asp?Expert=1236 > >-----Original Message----- >From: Jim Connerth [mailto:babydoc@apex.net] >Sent: Thursday, January 27, 2000 10:40 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Group B Beta strept screening > >No need to screen-assume colonization and Rx in labor--- > >Lily Kay CNM wrote: > > > If a woman has had a positive GBBS culture in a previous > > pregnancy, should she be rescreened in subsequent pregnancies, or > > assumed to be colonized and given prophylaxis in labor without > > rescreening? > > > > -- > > Lily Kay CNM -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown 610-402-0161 l.glazerman@rcn.com Next message: Garry Siegel: "Re: VBAC, Three previous CS." Previous message: Larry Glazerman: "Re: Group B Beta strept screening"

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