Heather we are also reviewing policies at the BC as a result of a NHMRC Evidence Based
Clinical Practice Research Program . The Mater Mothers' Hospital are overseeing this
program they would be more than happy to give you some flow charts, guidelines and
information sheets for Women to read I'm sure.
We like to provide Families with research based, accurate information - if it does not
become a compulsory addition to your policy manual you might like to have a look at
the information from the MMH independently. For an example some quotes from the
Families information sheet include
One in every 10 women giving birth will have TermPROM.
Research has shown that women with TermPROM who have labour induced are less likely to
develop infection because they have shorter labours and fewer vaginal examinations
during labour.
., in a large recent study more women were satisfied with their care when labour was
induced with intravenous oxytocin compared to a wait and see approach..
mmmmmmmm if "one third of Women are GBS+", "1 in 1000 babies are affected ", 'usual'
SROM is whilst labouring and "Approximately 20% of men and nonpregnant women with GBS
disease die of the disease"...............................mmmmmmmmmm
Heather in response to your request Anne Eaton the Womens Health Unit CNC has this
week competed the new policy for prophylaxis prevention of GBS infection I am sure she
would be available to discuss your requests if you wanted to contact her. If you
would like a copy I could send it to you. And lastly, when we as a team complete our
policy for the BC I could also send you a copy.
Some recommendations from the WHU policy
No routine A/N screening
Recommended I/P A/B <k35
ROM >18hrs
M temp _>
GBS colonisation ever detected
GBS bacteriuria " "
Previous infant GBS+
Rx M
IV penicillin 1.2g 4h for duration of labour or
Erythromycin if allergy 500mg 6h for duration of labour
*Aim at least one dose of A/B 4h prior to birth, however 2h will give baby adequate
cover. Neonatal staff to be informed of m temp_> 38 in first 24 h
Maternal Anaphylaxis Rx...........
Rx B
Urine spec
Gast asp
1h obs for 4h then 4hrly until 24h old (cease if urine neg)
*If rec A/B not given or A/B <2h Rx penicillin imi 50mg/kg single if infection thought
likely cont until culture results avail
Cheers
Katrina
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