Medicine an Surgery notes

Apr 25th, 2015
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The maternal history may provideimportant information aboutmaternal exposure to infectionmaternal immunity (natural or acquiredmaternal colonizationobstetric risk factors (prematurity, prolongedruptured membranes, maternalchorioamnionitisSexually transmitted infections (STIs) that infecta pregnant woman are of particular concern tothe fetus and newborn because of thepossibility for intrauterine or perinataltransmission These test are more available in the developedcountries and they include:(1) All pregnant women should be offeredvoluntary and confidential HIV testing at the 1stprenatal visit.2) A serologic test for syphilis should beperformed on all pregnant women at the 1stprenatal visit(3) A serologic test for hepatitis B surfaceantigen (HBsAg) should be performed at the 1stprenatal visit(4) A maternal genital culture for C. trachomatisshould be performed at the 1st prenatal visit..(5) A maternal genital culture for Neisseriagonorrhoeae should be performed at the 1stprenatal visit for women at risk6) Evaluation for bacterial vaginosis should beconsidered at the 1st prenatal visit for asymptomaticwomen at high risk for preterm labor.(7) universal screening for rectovaginal GBScolonization of all pregnant women at 3537 wkgestation and a screening-based approach to selective intrapartum antibioticprophylaxis against GBS-- Evaluation of a Newborn for Infection

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