Medicine an Surgery notes

Apr 24th, 2015
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Thematernal history mayprovide important informationaboutmaternal exposure to infectionmaternal immunity (natural or acquiredmaternal colonizationobstetric risk factors (prematurity,prolonged ruptured membranes,maternal chorioamnionitisSexuallytransmitted infections (STIs)that infect a pregnant woman are ofparticular concern to the fetus andnewborn because of the possibility forintrauterine or perinatal transmissionThese test are more available in thedeveloped countries and they include:(1)All pregnant women should beoffered voluntary and confidential HIVtesting at the 1st prenatal visit.2)A serologic test for syphilis should beperformed on all pregnant women at the1st prenatal visit(3) A serologic test for hepatitis Bsurface antigen (HBsAg) should beperformed at the 1st prenatal visit(4)A maternal genital culture for C.trachomatis should be performed at the1st prenatal visit..(5) A maternal genital culture for Neisseriagonorrhoeae should be performed at the1st prenatal visit for women at risk6)Evaluation for bacterial vaginosisshould be considered at the 1st prenatal visitfor asymptomatic women at high risk forpreterm labor.(7)universal screening for rectovaginalGBS colonization of all pregnant womenat 3537 wk gestation and a screening-based approach toselective intrapartum antibiotic prophylaxis against GBS--Evaluation of a Newborn forInfection or Se

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