Re: AMOL

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Tue Apr 9 20:21:02 2002


I had this conversation with Carol Baker from Baylor, the "Group B. Strep" maven. She felt that since the usual hospital setting may take up to 1-2 hours to start antibiotics after order is submitted, she recommends ordering them 12-14 hours after rupture of membranes. I was also under the impression that when a patient has been ruptured for 18 hours (18 hours after a cervical exam with rupture) antibiotics should be started to decrease the risk of chorioamnionitis.

--
Richard Chudacoff, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of ainsron@sbcglobal.net Sent: Tuesday, April 09, 2002 7:52 PM To: Multiple recipients of list OB-GYN-L Subject: Re: AMOL

I would only use antibiotics if GBS+ or treat if signs of infection.

>No protocol, but I do like aggressive Pitocin and start antibiotics about >12-14 hours after ROM. I don't use 12 hours, too boilerplate. Primary >c-section rate is less than 7%, so I guess it works. > >-- >Richard Chudacoff, MD, FACOG > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Bernard >Cristalli >Sent: Tuesday, April 09, 2002 3:46 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: AMOL > >So OK for AMOL with me, except the 12 hours dead-line. > >-- >Bernard Cristalli MD AMACOG >AIHP - ACCA >Paris France >Bernard.Cristalli@CliniquedelEssonne.fr >http://www.CliniquedelEssonne.fr >http://www.obgyn.net/corresp/cristalli.htm >http://www.gyneweb.fr >'64 Mk2 3.8 > >De : PELLIS45@aol.com >Répondre à : ob-gyn-l@obgyn.net >Date : Tue, 9 Apr 2002 15:35:08 -0500 >À : Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> >Objet : Re: AMOL > >In a message dated 4/9/02 4:23:14 PM Eastern Daylight Time, >bcrist@club-internet.fr writes: > >What do you mean by AMOL? > >......active management of labor. Strict adherence to the Friedman Curve, >pit for induction and augmentation, routine epidural, deliver in 12 hours >whether vaginally or section. Started in Ireland........thanks for >replying. >





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