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Re: Group B Beta strept screeningFrom: ainsron@msn.comMon Jan 31 16:46:06 2000
>What is the policy covering antibiotic administration to GBS positive >elective repeat cesarean sections? > > John Gibbons Its not addressed by the guidelines. I've seen one "expert panel" discussion in Contemporary Ob/Gyn, Oct 1998, where it was discussed. Dr. Mead brought up the idea of admitting GBS positive patients at least 4 hours prior to their scheduled C/S and giving them PCN prophylaxis. I've personally felt that even culturing scheduled RCS patients for GBS was a waste of time and resources. The problem is that the pediatricians want that information and if I don't have it, they treat the infant as GBS unknown and do the serial CBCs, etc. and require 48 hours observation. It is hard for me to buy the argument without data, that a non-laboring scheduled C/S runs a risk approaching that of a laboring patient who delivers vaginally. So far I've refused to do the cultures.
-- Ronald E. Ainsworth, MD
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