Re: Preterm labor antibiotics

From: rmodugno@aol.com
Sun Oct 26 19:24:22 2008


What is' symptomatic preterm labor'? - No MFM I know would suggest antibiotics without ruptured membranes.

Robert Modugno MD FACOG Sylva, NC

-----Original Message----- From: Andrew Folley <agfolley@hotmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Sun, 26 Oct 2008 9:00 pm Subject: Re: Preterm labor antibiotics

Is it common practice throughout the country to start all Pts. admitted with symptomatic preterm labor on antibiotics???  At out level III hospital our MFM gives ancef 1 gram q 8 for 9 doses. I can not find any clinical evidence to support this in terms of improving maternal or fetal outcome, delaying labor etc.  My concern is the recent ORACLE II follow up suggesting increased CP in moms who received Augmentin and or emycin??? Any thoughts.  andy

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