Re: SROM and GBS+

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Nov 30 21:36:26 2005


At Wed, 30 Nov 2005, Betsy Hyde wrote: >
>for hospital based providers :
>
>I am interested in management decisions for SROM, clear fluid, term
>pregnancy, GBS+, no labor:
>
>1) when do you initiate antibiotics?

Upon admission.

>
>2) when do you initiate induction of labor?

Upon admission; I'm pretty sure that someone has shown that the best outcomes are with immediate action with PROM at term, irrespective of GBS status and irrespective of Bishop score. If unripe, ripen; if ripe, induce.

>
>3) do you have evidence to support your management?

Not handy.

>
>4) does time of day influence your management plan?

What a nice question :).

Garry

>
>--
>Betsy Hyde CNM
>Assistant Clinical Professor, Yale University
>New Haven, CT
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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