Dear Katrina,
Thankyou for your reply. Yes if you could please send me a copy of the
Womens Health Unit policy and flow charts I would appreciate it. Mail can
be directed to me c/- Midwifery Unit MILDURA BASE HOSPITAL 13th St MILDURA
3500. I am not sure where Mater Mother's is ? Brisbane. I am also unsure
what the first line of the WHU policy stands for( I/P A/B k<35) if you could
please clarify.
Thankyou Heather
>From: "Birth Centre" <[EMAIL PROTECTED]>
>To: <[EMAIL PROTECTED]>
>Subject: Heather re GBS
>Date: Sat, 07 Aug 1999 15:25:52 +1000
>
>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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