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VBAC
Week by Week
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CDC GBS Guidelines Aug. 25, 1995
Center for Disease Control recommendations:
1. Give intrapartum penicillin (5 million units IV:load the 2.5 million units
every 4 hours until delivery) for all women with the following risk factors:
previous infant with GBS disease
GBS bacteriuria this pregnancy
GBS positive vag or rectal culture
delivery <37 wks
intrapartum temp >100.4
ROM >12 hours
2. If none of the above risk factors apply; collect vaginal and rectal swab
for GBS culture at 35-37 weeks for all pregnant women. If negative no
treatment, if not done and no fever and ROM < 12 hours no treatment.
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