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Re: Strep B testFrom: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)Fri, 1 Feb 2002 20:53:56 -0600 (CST)
At Fri, 1 Feb 2002, Nicole wrote: > >I went for my 37-week check-up today at my ob/gyn, and asked about the >Strep B test. I was told that they did not perform that screening >anymore. According to my ob/gyn, he and the other ob/gyns in the office >feel that it's more beneficial to only treat women who are at risk >(having twins, etc) or show signs of infection (fever, etc) vs. >screening every pregnant woman for Strep B. I had not heard of this >before, and wanted to get your opinion on it. I can get the Strep B >screen test done if I request it, but I wanted to ask here first. Should >I go ahead and request it, or is their point valid? Thanks so much for >your time. > >Sincerely, Nicole the Centers for Disease Control and the American College of Obstetricians and Gyencologists guidelines for GBS are: EITHER risk based treatment (preterm labor, membranes ruptured > 18 hours, fever in labor....)in the course of labor OR screen all women with a lower vagina and rectal culture at 35 - 37 weeks, and ONLY treat those with + results, regardless of other risk factors. Again, treatment is in laobr, not before. Both these methods are acceptable and one is not better than the other. The important point is htat whatever strategy is choosen, it be applies consitantly, so no one slips thru the cracks.
-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA
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