A nationwide survey of the opinions of paediatricians regarding the management of neonates born to women with group B Streptococcus in Japanese maternity homes

BMC Research Notes
Kotomi Yamaguchi, Kazutomo Ohashi

Abstract

The Japanese Midwifery Association (JMA) guidelines allow midwives to manage group B Streptococcus (GBS)-positive women during pregnancy and labour at maternity homes. However, no guidelines exist to manage neonates born to GBS-positive women in Japan. We aimed to investigate the opinions of paediatricians regarding optimal management strategies for neonates born to GBS-positive women in maternity homes. A questionnaire was sent to paediatricians at 396 Japanese perinatal medical centres. We examined opinions regarding examinations and routine clinical tests for neonates born to GBS-positive women in maternity homes. Of 235 paediatricians, only 11.2% considered that paediatric examinations were unnecessary for neonates born to GBS-positive women in maternity homes. Moreover, 20.5%, 13.2%, and 11.1% of paediatricians considered culture test of the nasal cavity, serum C-reactive protein level analysis, and blood cell count analysis, respectively, necessary for neonates born to GBS-positive pregnant women with intrapartum antibiotic prophylaxis (IAP), whereas 36.3%, 56.2%, and 40.6% of paediatricians considered these tests necessary in cases without IAP. The JMA guidelines had low penetration rates among paediatricians in Japan. T...Continue Reading

References

Feb 16, 2007·Early Human Development·Tim Colbourn, Ruth Gilbert
May 2, 2012·Pediatrics·Richard A Polin, UNKNOWN Committee on Fetus and Newborn
May 23, 2012·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Hiroshi Sakata
Jul 21, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·S MukhopadhyayK M Puopolo
Jan 12, 2013·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Kousaku MatsubaraYoko Suzuki
Apr 9, 2014·Early Human Development·Chryssoula TziallaMauro Stronati
Feb 16, 2018·Maternal Health, Neonatology and Perinatology·Kotomi Yamaguchi, Kazutomo Ohashi

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