PREGNANCY-BIRTH Messages for May, 2000: Re: antibiotics to a newborn for preventative measures

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Re: antibiotics to a newborn for preventative measures - Doctors knowledge appreciated.

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 5 May 2000 17:12:30 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "Re: antibiotics to a newborn for preventative measures - Doctors knowledge appreciated."

At Fri, 5 May 2000, anonymous@obgyn.net wrote: >
>At Fri, 5 May 2000, Alison wrote:
>>
>>I understand the controversy over giving antibiotics and creating
>>"stronger" bacterias. However, is it ever a standard of care for a
>>newborn to be given antibiotics automatically when borne from a group b
>>strep environment? If not, why? It seems like such a logical
>>precautionary measure to take to save a life.
>
>It is the standard of care that the laboring mother be given antibiotics
>in labor if GBS, or one of a number of complicating factors, is present.
>Once the baby is out, some are treated immediately due to the
>circumstances of their delivery, but most are observed for signs of
>disease prior to treating them with potentially toxic medications.
>
>There is a protocol under trial where all babies are given a dose of
>antibiotic at birth, and the mothers are not treated automatically, but
>I have not seen the results of that trial.
>
>--
>William D. McIntosh, MD, FACOG
>Clarksville, TN
>
>This is for educational purposes only, and is not intended to be replacement
>or substitute for consultation and examination by an appropriate medical
>professional. Due to time constraints, private e-mails cannot be answered.
>

The first trial in this country, of treating all babies with antibiotics was done in Dallas about 10 years ago. It was quite successful. For reasons unknown to me the National powers that be selected the current protocol that we use.

RDB

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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