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The Royal College of Obstetricians and Gynaecologists (RCOG) first issued their Green Top Guideline No 36 "Prevention of early onset neonatal Group B streptococcal disease" in 2003. This guideline clearly stated: "Routine bacteriological screening of all pregnant women for antenatal GBS carriage is not recommended, and vaginal swabs should not ...
Preeclampsia superimposed on chronic hypertension occurs when a pregnant woman with chronic hypertension develops signs of pre-eclampsia, typically defined as new onset of proteinuria ≥30 mg/dL (1+ in the dipstick) in at least 2 random urine specimens that were collected ≥4 h apart (but within a 7-day interval) or 0.3 g in a 24-h period. [19]
Fracture of both clavicles as a result of shoulder dystocia (top) – Post healing (bottom) Possible complications include: Neonatal complications: Brachial plexus injuries [7] (2.3% to 16%) leading in some cases to: Klumpke paralysis; Erb's palsy; Hypoxia, [7] leading in some cases to: Cerebral palsy; Bone fractures [7] Death; Maternal ...
Guidelines on the choice of agents and how best to step up treatment for various subgroups in hypertension (high blood pressure) have changed over time and differ between countries. A Comparison of International Guidelines on Goal Blood Pressure and Initial Therapy for Adults With Hypertension (adapted from JNC 8 guidelines [ 1 ] )
Guidelines for treating resistant hypertension have been published in the UK [45] and US. [46] It has been proposed that a proportion of resistant hypertension may be the result of chronic high activity of the autonomic nervous system, known as "neurogenic hypertension". [47] Low adherence to treatment is an important cause of resistant ...
RCOG recommends that the placenta should be at least 2 cm away from internal os for an attempted vaginal delivery. [27] When a vaginal delivery is attempted, consultant obstetrician and anesthetists are present in delivery suite. In cases of fetal distress and major degrees (traditional grade III and IV) a caesarean section is indicated.
BI's music reporter ranked the 20 best songs of 2024. Charli XCX, Chappell Roan, Doechii, Kendrick Lamar, and Raye round out the top five. Listen to the complete ranking on Business Insider's ...
In 2010, the Centers for Disease Control and Prevention (CDC), in collaboration with several professional groups, issued its revised GBS prevention guidelines. [ 30 ] In 2018, the task of revising and updating the GBS prophylaxis guidelines was transferred from the CDC [ 43 ] to ACOG ( American College of Obstetricians and Gynecologists ), the ...