Hi all,
I am most intrigued by this statement:
"...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."
Could somebody please direct me to the source/research?
Many thanks,
Felicity
>> 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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>
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_--_|\,-- From Townsville ** Felicity Croker
/ \ in sunny ** Psychology & Sociology &
\_.--._/ North Queensland ** Centre for Women's Studies
v ** James Cook University
** TOWNSVILLE, QUEENSLAND 4811
AUSTRALIA
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