Patient preference for self-collected cultures for group B streptococcus in pregnancy
✍ Scribed by Margaret C. Taylor; Brian M. Mercer; Kay F. Engelhardt; Joyce L. Fricke
- Publisher
- Elsevier Science
- Year
- 1997
- Weight
- 403 KB
- Volume
- 42
- Category
- Article
- ISSN
- 0091-2182
No coin nor oath required. For personal study only.
✦ Synopsis
To determix pregnant women's preference for self-cukxe technique. 251 women behietn 24 and 42 week;. gestation were inteniewed after performing self-r&&d cu!tures (wgiml and rectal) for group B strq,tococcus. Patient recc?tiveness to self-cultme. the abilit\z to perform self-culture. and the desire for choice in the future were derived using the Paiient Preference Tool. The majority of women (77%. n = 194) gave positive descriptions of self-culture technique. a;id the majo:ity of women preferred salf-culture technique over nurse-coilaLied sampling (57%. n = 142). Seventy-nine psrcent (n = 197) stated their desire to have a choice about self-culture in the future when similar testing was needed. and 89% (n = 224) helievcd that other women w&d also like this choice. Additionally, patient sm@es were highly correlated with nursezllected samples for acorracy of culture results. This study provides data supportiilg that women desire actwe ixrticipation in their care. b 1997 bv the American C&v? of Nurse-Midwives.
Group B streptococcus
(GBS) is a significant perinatal pathogen responsible for maternal and neonatal morbidity (1.2). Antenatal screening with intrapartum treatment for GBS-colonized women is the only proven method of disease reduction (3.4). However. identification of the appropriate population for screening is problematic (5). Research supports that GBS is carried intermittently (6); therefore. single anteparttl-m culture results and cultures remote from term are not predictive of intrapartum carriage (S-7). In 1992. the American Academy of Pediatrics called for universal screening of pregnant women for GBS with intrapartum treatnrent of those who develop certain risk factors (8). The current recoin-mend&ions from the American College of Obstetricians and Gynecologists suggest antepartttm screening only for gravid women at risk for neonatal sepsis. with intrapartum treatment of those who develop additionai risk factors (9).