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Re: 12 hour PROM and GBS From: Dr Eberhard Lisse (el@lisse.NA) Mon Sep 29 09:06:52 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Difficutl diagnostic challenge" Previous message: aditi desai: "Re: 12 hour PROM and GBS" In reply to: aditi desai: "Re: 12 hour PROM and GBS" Next in thread: Efrain Ramirez: "Re: 12 hour PROM and GBS" Reply: Efrain Ramirez: "Re: 12 hour PROM and GBS" I would start her on A/B as soon as I figure she'll get over 18 hours with ruptured membranes, not just 17 hours 59 minutes after the rupture. That, in practice means 12 hours. Maybe that's what the MFM means? el on 9/29/08 3:42 PM aditi desai said the following: > IV Antibiotics are not routinely recommended in term rupture of > membranes <18 hours. > > According to the risk based approach...and membranes ruptured > 18 hours, > > the risk of early onset GBS is 1in 476 if antibiotics not given and is 1 > in 8351 if iv antibiotics given in labour(RCOG,UK GBS prevention guidelines) > > Aditi Desai > > MRCOG > > UK > >> ----- Original Message ---- > From: Andrew Folley <agfolley@hotmail.com> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > Sent: Monday, 29 September, 2008 11:04:20 > Subject: RE: 12 hour PROM and GBS > > 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??? Next message: Henry Gregor: "Re: Difficutl diagnostic challenge" Previous message: aditi desai: "Re: 12 hour PROM and GBS" In reply to: aditi desai: "Re: 12 hour PROM and GBS" Next in thread: Efrain Ramirez: "Re: 12 hour PROM and GBS" Reply: Efrain Ramirez: "Re: 12 hour PROM and GBS"

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