Group B streptococcus (GBS) colonization in pregnancy Quiz: Ace Your Exams

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A 28-year-old woman, gravida 2, para 1, at 38 weeks of gestation presents to the obstetrics triage unit due to concern for active labor. She felt a rush of fluid from her vagina 8 hours prior to going to the emergency department (ED). The patient has been in her usual state of health as of late and feels well. She has not followed up with an obstetrician since 10 weeks of gestation. The patient has no past medical history and takes no medication other than prenatal vitamins. She is admitted to the obstetrics unit. Vital signs include a temperature of 100.0 ºF. She is found to have ruptured amniotic membranes. Which of the following factors would be an indication for intrapartum intravenous (IV) antibiotics?

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Maternal intrapartum temperature of 100.0 ºF (37.8 ºC)

Gestational age of 38 weeks

Group B Streptococcus colonization in previous pregnancy

Ruptured amniotic membranes for 8 hours

Multiple gestation