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Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P... From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Jan 18 19:45:27 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Previous message: Kaycnm@aol.com: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." In reply to: Kaycnm@aol.com: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Next in thread: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Reply: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Reply: Henry Gregor: "Zach" Kay: I respectfully submit that those Obstetricians and midwives are practicing below the standard of care, not beyond it. If you will accept that the CDC and ACOG "know" more than the average practitioner, then why are they so smart to do counter to that which is recommended? Your presence and discussion in this forum demonstrate your thirst for learning and your desire to practice in an informed manner. Use this as a springboard to educate others. Lead, do not follow here. (We miss Zach, so I had to try to emulate him :)). Comments below. Garry >I've just conducted a mini survey among several doctors and midwives and the consensus is that everyone DOES give antibiotics in this case. The reasons are > >1. The beta-strep is often positive. 30% across the board is the approximate colonization rate. Often???? > >2. There's no harm in giving penicillin. Kay, there sure can be, including but not limited to: antibiotic colitis in the baby, anaphylaxis in the mother. . .again, uncommon but if you have a complication due to an unnecessary treatment, you've done the wrong thing. > >3. The pediatricians will treat the baby as a positive baby and will order all lab tests including blood cultures, mandate a 2 day stay and will start antibiotics with any slight deviation from normal. I just discussed this with our head nurse at North Fulton. Nowhere in the guidelines should the OBSTETRIC management be dictated by the presumed neonatal management. Kay, practice good medicine according to national accepted standards, and you'll be OK. Garry > >-- >Kay Johnson, CNM >Atlanta, GA >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >"Life is too important to be taken seriously." >Oscar Wilde >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Previous message: Kaycnm@aol.com: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." In reply to: Kaycnm@aol.com: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Next in thread: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Reply: Anna Meenan, MD: "Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P..." Reply: Henry Gregor: "Zach"

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