Dear all,
I give up. Please advise me what GBS stands for? Regards, Mary Murphy
----- Original Message -----
From: Birth Centre <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, August 07, 1999 1:25 PM
Subject: Heather re GBS
> 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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