[mark_LD_RN]

got at a question for ya!


Is the use Of a fetal scalp electrode contraindicated when vaginal or cervical colonization with group B strep is present?

A book in my perinatology course says it is.

and thedocs here sayit is not.

what do you think, anyone have any definitive info to share?

[SmilingBluEyes]

I have to look this up! I do know,we don't put them on when Group B Strep is present, but then I have not looked up our policy on this. Just is NOT done. Good question, Mark! I need to get off my duff and do some digging now!

[NurseDianne]

I've been racking my brain to try to remember if I've read our policy on it. Will check tonight when I go in. Dang I wish I could remember. We do see alot of Group B Strep

[HazeK]

we use them on B Strep patients....but also work very hard to be sure 2 doses of antibiotics are into mom prior to delivery

[anitame]

This was discussed recently on a perinatal list I subscribe to. The general consensus is that the the insert that comes with the ISEs will list the manufacterers recommendations. Most indicate they should not be used in the presence of GBS. That said, if I have a baby with an icky looking strip, I would certainly prefer to use an ISE and confirm fetal well-being than go for a c-section. We do not discriminate with the use of ISEs in GBS positive patients but we don't routinely use the ISE either. Only when necessary.
Normally the docs/cnms will not AROM until after the second dose of antibiotics so USUALLY these patients are well covered before they would even get their ISE. Always exceptions to the rule though!