Normal L&D

Question 1

When are GBS-specific Abx indicated for GBS unknown laborers?
1)
2)
3)

Answer 1

1) Preterm labor/PPROM
2) ROM >18hrs
3) H/o neonatal GBS disease with prior pregnancy

If chorio, broad-spectrum antibiotics indicated

Question 2

Which Abx for endometritis?

Answer 2

Gentamicin & Clindamycin

Question 3

Which Abx for chorioamnionitis?
1) Board answer
2) Michigan answer (d/t local sensitivities)

Answer 3

1) generally, amp & gent
2) at Michigan, ancef & flagyl

Question 4

What is AMTSL? 3 components

Answer 4

1) Pitocin (10 U IM or diluted IV)
2) Uterine massage
3) Gentle cord traction with suprapubic pressure

Question 5

How long is too long for the placenta to separate?

Answer 5

30 minutes. At this point, can attempt manual extraction