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Re: 12 hour PROM and GBSFrom: Andrew Folley (agfolley@hotmail.com)Mon Sep 29 05:03:48 2008
Midwife asks me if OK to start antibiotics on 40 week G1P0 in labor because she has been ruptured 12 hours. GBS status is negative. I say do it if you like but its not for GBS prophylaxis. Midwife states that our one MFM says that studies show better outcome for babies given antibiotics when PROM present for 12 hours. Anyone know of any studies which support this???> Date: Mon, 29 Sep 2008 02:52:25 -0500> From: el@lisse.NA> To: ob-gyn-l@mail.obgyn.net> Subject: Re: Gestational Hypertension follow up> > I have never used Labetolol.> > The standard here for oral antihypertension in pregnancy> used to be methyldopa, but I have started using Nifedipine> more and more since ther first evidence came out that it> supresses labor (1995 or so). Works very well...> > I don't use much iv since it seems that one doesn't have to be> too aggressive in lowering the BP, but if I do I use dihydralazine,> mainlye because it's the only thing we have, really :-)-O> > el> > on 9/29/08 1:30 AM Raymond Stephen said the following:> > Although the literature is full of articles about Labetalol and Methyl> > Dopa and it was always Methyl Dopa that I used to use, I have, since> > about 1998, used Nifedipine much more, partly because it can be given in> > a slow release form, which allows once daily dosing, and partly because> > it seems to be freer of side effects. I still give Labetalol but> > generally use it in the acute phase in IV form for severe pre-eclampsia> > with BP above 110 diastolic.> > > > > > > > Steve Raymond 50F681DAD532637!5295.entry?ocid=TXT_TAGLM_WL_domore_092008
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