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Re: beta strep screeningFrom: Milree Keeling (mkeeling@tiac.net)Fri Nov 8 23:18:45 1996
MNudel@aol.com wrote:
> >The irony in this is that the cost analysis done by the CDC the We culture all women at 36 weeks or anytime in pregnancy if they bleed or have preterm cervical change with contractions. We consider any history of positive vaginal or urine culture for GBS at any time in life to be colonized at time of labor, also anyone with history of neonatal sepsis in other infant regardless of culture result. We also regard women with negative cultures but risk factors at time of labor as colonized. We treat all positive antepartum urine cultures with ampicillin, and use Ampicillin for intrapartum prophylaxis. Status of membranes does not affect prophylaxis of colonized women, and c/s without labor also merits prophylaxis in these, at least 1 hour prior to delivery. We are aggressive as well in our efforts to identify and treat bacterial vaginosis in pregnancy. We practice in a high-risk environment for litigation.
-- MIlree Keeling, CNM Leominster, MA
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