Skip Navigation LinksHome > September/October 2013 - Volume 38 - Issue 5 > A Practical Approach to Implementing New CDC GBS Guidelines
MCN, American Journal of Maternal Child Nursing:
doi: 10.1097/NMC.0b013e31829aaf2d
Feature: CE Connection

A Practical Approach to Implementing New CDC GBS Guidelines

Hill, Shawna M. BSN, RN; Bridges, Margie A. MN, RN, AWHNP-BC; Knudsen, Alexis L. BSN, RNC; Vezeau, Toni M. PhD, RNC, IBCLC

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Abstract: Group beta streptococcus (GBS) is a well-documented pathogen causing serious maternal and fetal morbidity and mortality. The CDC guidelines for managing clients who test positive for GBS in pregnancy were revised and published in 2010. However, CDC and extant literature provide limited guidance on implementation strategies for these new recommendations. Although several algorithms are included in the CDC (2010) document, none combine the maternal risk factors for practical and consistent implementation from pregnancy to newborn. In response to confusion upon initial education of these guidelines, we developed an algorithm for maternal intrapartum management. In addition, we clarified the CDC (2010) newborn algorithm in response to provider request. Without altering the recommendations, both algorithms provide clarification of the CDC (2010) guidelines. The nursing process provides an organizational structure for the discussion of our efforts to translate the complex guidelines into practice. This article could provide other facilities with tools for dealing with specific aspects of the complex clinical management of perinatal GBS.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.


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