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Re: beta strep screeningFrom: DoctorJoe@aol.comMon Nov 11 07:35:01 1996
<<Makes sense, but..... many of us already do that with our prophylactic Ancef with c-sections(don't want ot get into discussion on necessity of this without ROM)... the real question in my institution has been, should we be giving antibiotics for elective c/s with intact ROM in GBS and if so need it be 4 hours prior to delivery as recommended for vaginal delivery GBS prophylaxis.>> Well..... The question would be, how do you theorize the GBS gets to the baby if there is NO labor and NO ROM? The 4 hours is for laboring patients, presumably infecting their infant DURING labor (by exposure to maternal secretions, etc. If you do a "sterile" c-section, how's the baby exposed? I still think just the "plain" c-section prophylaxis is enough (and as you imply, arguable, if it's an elective repeat). Joe P.
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