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Re: No Posts!From: Andrew Folley (agfolley@hotmail.com)Thu Nov 29 14:12:17 2007
Sounds simple enough. However on a large scale with over 4.3 million births per year and 10-20% repeat csections and rising we are essentially culturing about 500,000 women without benefit. It is no doubt a small drop in the bucket of poor allocation of health care resources, but we need to start somewhere. Date: Thu, 29 Nov 2007 14:47:59 -0600From: DoctorJoe@aol.comTo: ob-gyn-l@dns.obgyn.netSubject: Re: No Posts! In a message dated 11/29/2007 2:40:15 P.M. Central Standard Time, agfolley@hotmail.com writes: I still have not heard a good argument for doing GBS cultures on women planning repeat c-section.If they show up for the scheduled c-section they did not need the culture. If they come in and decide to be vbac they are either treated as a full term ob with GBS undetermined in which case they are treated based on risk factors, ie >18 hrs ROM or temp >38 C You've answered your own question. To prevent someone showing up as "GBS undetermined" and having to go thru the mental and paperwork gymnastics of deciding how to treat them. Joe P. Check out AOL Money & Finance's list of the hottest products and top money wasters of 2007. 07
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