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Re: Group B Beta strept screening From: Braun, R. Daniel (rbraun@iupui.edu) Mon Jan 31 13:43:38 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: VBAC, Three previous CS." Previous message: Garry Siegel: "Re: VBAC, Three previous CS." Maybe in reply to: Lily Kay CNM: "Group B Beta strept screening" Remember when all this got started? The Pediatricians wanted us to culture everybody at 28 weeks and treat based on that. The studies that were done at that time showed that positive cultures at 28 weeks bore no relationship at all to a positive culture during labor.. Just think about the reliability of a positive culture in a prior pregnancy 3 years ago. Treating those patients is sheer emotionalism with a total disregard for science. Now would you like to know how I really feel? (;<) 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: Larry Glazerman [mailto:l.glazerman@rcn.com] Sent: Monday, January 31, 2000 8:36 AM To: Multiple recipients of list OB-GYN-L Subject: 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: Braun, R. Daniel: "Re: VBAC, Three previous CS." Previous message: Garry Siegel: "Re: VBAC, Three previous CS." Maybe in reply to: Lily Kay CNM: "Group B Beta strept screening"

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