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Congress abstracts are published as submitted or with minor editing only. The International Journal of Gynecology and Obstetrics (IJGO) is not responsible for errors or omissions in the abstracts.
 

XX FIGO World Congress of Gynecology and Obstetrics
CONGRESS ABSTRACTS ON THE WEB



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Abstract W064:
PREVENTION OF NEONATAL GROUP B STREPTOCOCCAL INFECTION: AN EXPERIENCE OF VILNIUS UNIVERSITY DEPARTMENT OF OBSTETRICS AND GYNECOLOGY   print the Abstract

 

Citation: International Journal of Gynecology and Obstetrics
Volume 119, Supplement 3 (2012), Page S725


D. Lauzikiene1, D. Ramasauskaite1, G.S. Drasutiene1, A. Arlauskiene1, J. Zakareviciene1

1Vilnius University, Vilnius, Lithuania

Objectives: The purpose of the study was to evaluate the implementation of late antenatal screening of pregnant women for group B streptococcus and intrapartum antibiotic prophylaxis at Vilnius University Department of Obstetrics and Gynecology.
The universal antenatal screening for group B streptococcus of pregnant women was strongly recommended by the Ministry of Health of the Republic of Lithuania from July 2011.
Materials: We analyzed the records of antenatal care and delivery of all 2990 women who delivered at term at Vilnius University Department of Obstetrics and Gynecology in 2011. The data of the obstetric anamnesis, the antenatal testing for group B streptococcus, the mode of delivery, intrapartum antibiotic prophylaxis and duration of hospitalization were examined.
Methods: A retrospective study was conducted at Vilnius University Department of Obstetrics and Gynecology in 2011. All statistical analyses were performed using the statistical package SPSS, version 16. Student t or Pearsons Chi-square tests were used for statistical analysis. A probability level of p < 0.05 was taken as significant.
Results: Routine antenatal testing for group B streptococcus vaginal carriage at 35–37 weeks' gestation was performed for 1869 (62.5%) pregnant women. 1121 (37.5%) pregnant women were not tested. 280 (15.0%) screened women were colonized with group B streptococcus.
Intrapartum antibiotic prophylaxis was administered to 234 (92.5%) group B streptococcus positive women. 80 (62.5%) nuliparous women and only 48 (37.5%) multiparous women received optimal chemoprophylaxis, as recommended, so that antibiotic should be given 4 hours or more before delivery. The duration of hospitalization in group B streptococcus positive women was 3.8±1.7 and in negative – 3.8±2.0 days (p = 0.8).

Table: Duration of antibiotic prophylaxis
Cases≤4 hours≥4 hoursTotal
Nulliparous51 (48.1%)80 (62.5%)131 (56.0%)
Multiparous55 (51.9%)48 (37.5%)103 (44.0%)
Total106 (45.3%)128 (54.7%)134 (100%)


Conclusions: The antenatal testing for group B streptococcus of pregnant women and antibiotic prophylaxis during delivery was not optimal for women who delivered at term in Vilnius University Department of Obstetrics and Gynecology in 2011.
The duration of prophylaxis during delivery was not sufficient for most women, especially for multiparous. We recommend medical staff to inform the group B streptococcus colonized pregnant women to go to maternity hospital immediately after the beginning of labor or leak of amniotic fluid and to avoid stimulation of labor in order to achieve the recommended duration of antibiotic prophylaxis.

 
   

Congress abstracts are published as submitted or with minor editing only. The International Journal of Gynecology and Obstetrics (IJGO) is not responsible for errors or omissions in the abstracts.

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