True or False:
GBS status is not really that important for scheduled CS pts.
There are a couple of things to consider, at least as I see it, based the info I have read:
The first is that the mother herself can get an intrauterine GBS infection. GBS in the vagina/rectum....usually ok. GBS in the uterus or in the surgical incision, not so much. (Most of our CS pts get Ancef during surgery, so they would be covered.)
The second is that if the mother has SROM prior to CS and is positive, what do you do about the baby's exposure? Giving abx to the mom will not cover the baby being delivered, as it takes about 4 hours for abx to pass from mother to fetus. My preceptor didn't believe me when I said that bacteria can theoretically ascend into the ruptured amniotic sac even if labor is not active and there is little to no cervical change.
Last edit by TLSpaz on Aug 17, '11
: Reason: additonal info