Friday, March 19, 2010
Clinical question for you?
A client presents: 37+3: G2 P1: Group strep B positive for IV antibiotics in labour..... history of Spontaneous rupture of membranes (SROM)at 0200hrs.... presented to hospital at 12noon, fetal movements felt and clear liquor noted...team decision for IOL...dept busy so client to walk around until staff available to commence IOL, the woman may go into labour on her own...still no contractions... now 1300 hrs staff available.. CTG for 20mins reactive no contractions, clear liquor noted..... IV syntoncion commenced as per regime.....Would you do a baseline vaginal examination at this point or would you wait until the woman commenced contracting? is there a need to do this vaginal examination at this point? What do you think?