Streptococcus is recommended for the following

1. Pregnant women with a positive screening culture unless a planned Cesarean section is performed in the absence of labor or rupture of membranes

2. Pregnant women who gave birth to a previous infant with invasive GBS disease

3. Pregnant women with documented GBS bacteriuria during the current pregnancy

4. Pregnant women whose culture status is unknown (culture not performed or result not available) and who also have delivery at <37 weeks of gestation, amniotic membrane rupture for >18 hours, or intrapartum temperature >100.4°F (>38°C)

5. The recommended IAP regimen is penicillin G (5 million units IV initial dose, then 2.5 million units

IV Q4h). In women with non-immediate-type penicillin-allergy, cefazolin (Ancef, 2 g initial dose, then 1 g Q8h) is recommended. Clindamycin (900 mg IV Q8h) or erythromycin (500 mg IV Q6h) are recommended for patients at high risk for anaphylaxis to penicillins as long as their GBS isolate is documented to be susceptible to both clindamycin and erythromycin. IV. Normal spontaneous vaginal delivery

A. Preparation. As the multiparous patient approaches complete dilatation or as the nulliparous patient begins to crown the fetal scalp, preparations are made for delivery.

B. Maternal position. The mother is usually placed in the dorsal lithotomy position with left lateral tilt.

Pregnancy And Childbirth

Pregnancy And Childbirth

If Pregnancy Is Something That Frightens You, It's Time To Convert Your Fear Into Joy. Ready To Give Birth To A Child? Is The New Status Hitting Your State Of Mind? Are You Still Scared To Undergo All The Pain That Your Best Friend Underwent Just A Few Days Back? Not Convinced With The Answers Given By The Experts?

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