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Subject:
From:
"Leanne Jewell, Rnc, Lcce, Facce" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 23 Aug 2004 05:52:06 EDT
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Good morning from sunny (so far this day) Florida,
In response to Terriann from Alaska inquiring about GBS as a STD....the
answer is at this time the line is No.  Here we seem to have a huge group of  GBS +
patients but there is no accounting as to if its warm tropical enviroment,
partner acquired...so unless we start culturing newborn baby girls and see if
they "come with it" we can only take the word of the people researching it.
There use to be a GBS website, I haven't gone to it in a long time....so you
could Goggle it...In childbirth classes I advise them that they should know their
status so if they go into labor they can tell the staff so that antibotics can
be initiated as soon as possible...it takes 2 doses of Penicillin 4 hours
apart to cross the placenta to be considered treated...if Penicillin allergy
exists then Clindamycin 900 mg every 8 hrs.  So that really keeps our ladies who
are positive from staying at home....so consequently we see lots of
augmentation of labor and hence cesareans because of failure to progress.
So off I go to my girls....I think it was a busy weekend because they called
for help, but I was exhausted from the week of 20 deliveries on Tuesday and
the aftermath on Wednesday, Thursday and Friday...Thursday no inductions,,,,so
probably they played catch up  Sat and Sunday.
Have a great day.
Leanne Jewell, RN, C, LCCE, FACCE

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