GynaePulse
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Group B strep

Who gets intrapartum antibiotics.

Source: RCOG GTG 36

Offer IV antibiotics if

  • GBS found this pregnancy (swab or urine)
  • Previous baby with GBS disease
  • GBS last pregnancy without negative 35–37 wk swab
  • Preterm labour <37 weeks
  • Intrapartum fever >38 °C (broad-spectrum)
Benzylpenicillin 3 g IV then 1.5 g 4-hourly. Not needed for planned CS before labour with intact membranes.
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