If a pregnant woman tests positive for GBS, what is the recommended management during labor?

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Multiple Choice

If a pregnant woman tests positive for GBS, what is the recommended management during labor?

Explanation:
When a pregnant woman tests positive for GBS, the goal is to prevent transmission to the newborn during birth. The recommended approach is intrapartum antibiotic prophylaxis: give antibiotics during labor, typically IV penicillin G, started when labor begins or after membranes rupture and continued until delivery. This significantly lowers the risk of early-onset GBS disease in the newborn. If penicillin allergy is present, alternatives are used based on the allergy severity (for example, cefazolin for a non-severe allergy, with other options for more severe reactions). Vaccination during labor isn’t used for GBS, and no treatment during labor wouldn’t prevent neonatal infection.

When a pregnant woman tests positive for GBS, the goal is to prevent transmission to the newborn during birth. The recommended approach is intrapartum antibiotic prophylaxis: give antibiotics during labor, typically IV penicillin G, started when labor begins or after membranes rupture and continued until delivery. This significantly lowers the risk of early-onset GBS disease in the newborn. If penicillin allergy is present, alternatives are used based on the allergy severity (for example, cefazolin for a non-severe allergy, with other options for more severe reactions). Vaccination during labor isn’t used for GBS, and no treatment during labor wouldn’t prevent neonatal infection.

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