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Re: New Series #1-Admission and NSVD of laboring patientsFrom: Bernard Cristalli (bclaure@mailhost.grolier.fr)Tue Dec 31 12:00:17 1996
richardc@bcm.tmc.edu wrote: > > >the B strep issue is a concern. > > The problem I have is when the nursing staff, when evaluating the > patient, has already performed a ditital exam. At this point I feel > that the infection risk has occured and would like delivery mechanisms > initiated. This usually means induction and, if no delivery by 18 > hours, use of antibiotic coverage for GBS. What are others doing in > this situation. Despite inservice for the nursing staff, every so often > these patients are digitally examined. > > > I'm not sure the infection risk begins after the digital exam. 4'd rather say that the PROM occured because of the germs. So, if the labour walks fairly everything's OK. If fever occurs => induction. Induction too if there is no spontaneous onset of labour after 24 (48?) hours in case the temperature remains normal.
-- Bernard Cristalli MD CNGOF Paris - France
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