201_GBS screening and prophylaxis_prepping for birth Flashcards
How do you store GBS swab?
4 degrees Celsius
Processed within 24 hours of collection.
When use Edinburgh perinatal/postpartum depression scale?
In between 28-32 weeks prenatally
6-8 weeks pp
(anytime is valid)
Do we use EPDS universally?
Yes
What are the 4 principles of TIC approach?
Having trauma awareness
Establishing safety and trustworthiness
Ensuring choice, collaboration, connection
Building on strengths
What is GBS?
Group B streptococcus – bacteria found in gut, vagina, anus
Not an STI, not a sign of cleanliness
Transient bacteria
What is the incidence of GBS in pregnancy ?
1.5-4/10 – very common
What is the incidence of GBS infection for baby?
2.3/10 000 (rare)0.2 %
What is the incidence of a baby dying from EOGGBDS?
1.15/100 000 (very rare) 0.001 percent
Community standard managing positive GBS swab?
IV admin of prophalytic antibiotics every 4 hours till birth of bb starting when membranes rupture or during active labour (whatever comes first)
Who does SOGC recommend Abx to for GBS? (3)
- any woman positive for group B streptococcus by vaginal/rectal swab culture screening done at 35 to 37 weeks’ gestation (II-2B);
- any woman with an infant previously infected with group B streptococcus (II-3B);
- any client with documented group B streptococcus bacteriuria (regardless of level of colony-forming units) in the current pregnancy. (II-2A)
Chances of EOGBDS following community standard?
3/1000
Chances of death from EOGBSD following community standard?
3/10,000
Chances of EOGBDS following risk factor approach?
5/1000
Chances of death following risk factor approach?
5/10,000
Chances of EOGBDS taking no abx?
10/1000
