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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

MCN: The American Journal of Maternal/Child Nursing: September/October 2013 - Volume 38 - Issue 5 - p 305–310
doi: 10.1097/NMC.0b013e31829aaf2d
Feature: CE Connection

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.

These nurses offer you a simpler way to implement new GBS guidelines. You'll be pleased after you read this!

Shawna M. Hill, L&D/MBU Nurse Educator, is with the Overlake Hospital Medical Center, Bellevue, WA. She can be reached via e-mail at

For 147 additional continuing nursing education articles on maternal/child topics, go to

The authors declare no conflicts of interest.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.