A 28-6/7-weeks'-gestational-age boy whose birthweight was 1,340 g was born to a 32-year-old G3P0 woman whose pregnancy was complicated by a short cervix and preterm labor. Two cervical cultures and 1 urine culture were positive for group B Streptococcus (GBS), the latest positive cervical culture taken 2 days before delivery. Antibiotics were not given despite preterm labor with a positive GBS culture and bacteriuria. The infectious disease (ID) consult retained by the plaintiff was critical of this omission. The mother was given magnesium sulfate for tocolysis and antenatal steroids. An emergency cesarean delivery was performed because of heart rate (HR) decelerations down to the 70s for 6 to 7 minutes. At the time of delivery, membranes were ruptured and clear fluid was found. Apgar scores were 91 and 105. The GBS status was documented “unknown” in the delivery and neonatal records and remained unknown throughout the infant’s...
Legal Briefs: Late-Onset Group B Streptococcus Meningitis: Should It Happen in a Newborn Intensive Care Unit?
Dr Sims has disclosed that she has been compensated for reviewing records and providing testimony in some of the cases highlighted in Legal Briefs. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
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Maureen E. Sims; Legal Briefs: Late-Onset Group B Streptococcus Meningitis: Should It Happen in a Newborn Intensive Care Unit?. Neoreviews March 2014; 15 (3): e104–e107. https://doi.org/10.1542/neo.15-3-e104
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