A. If willing Offer bacteriological screening now
B. Offer Intra parturm Antibiotic Prophylaxis
C. NO need of screening
D. If willing Offer bacteriological screening at 35-37 weeks
E. Treat now and offer Intra parturm Antibiotic Prophylaxis
F. No need of Intra parturm Antibiotic Prophylaxis
G. Treat now for GBs bacteriuria
H. Offer broad spectrum antibiotics including to cover GBS
I. Polymerase chain reaction in labour
J. Near patient testing in Labour
K. Offer expectant management up to 24 hours
L. Wait for spontaneous onset of labour
M. Offer expectant management up to 48hours
N. Offer Intra parturm Antibiotic Prophylaxis and immediate induction of labour
Choose the most appropriate investigation for the following mangement options regarding Group B streptococcus .choose option once or more than once or not at all
1. Mrs. Katie, 36 year old in her second pregnancy. Now she is 24 weeks pregnant, In her first pregnancy, GBs carriage was identified and treated . Her first delivery was un eventful. , she delivered a baby boy at 39weeks.
2. Ms. Susan, is 24 year old in her first pregnancy, she had frequency of micturition and dysuria. Urine culture has grown GBS.
3. Mrs. Leslie, is immigrant from Asia, she was a here for a family get together. She is on her first pregnancy at 37 weeks 4days. She presented with leaking per vagina. On examination - temperature is 36.5c, no uterine contractions on palpation. Sterile speculum confirmed Premature rupture of membranes. Her GBS carrier status is unknown.
4. Mrs. Lovely, 34 year old is in her second pregnancy. Now she is 34 weeks of pregnancy, she is undergoing elective cesarean section due to vasaprevia at 35 weeks. Her GBS status is unknown.