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Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy

AIMS: To investigate Group B Streptococcus (GBS) colonization in pregnancy; adherence to antenatal GBS screening and adherence to the intrapartum antibiotics protocol within two models of care (midwifery and non‐midwifery led). DESIGN: This retrospective quantitative study has employed a descriptive...

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Autores principales: Pangerl, Sabine, Sundin, Deborah, Geraghty, Sadie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546437/
https://www.ncbi.nlm.nih.gov/pubmed/35429021
http://dx.doi.org/10.1111/jan.15249
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author Pangerl, Sabine
Sundin, Deborah
Geraghty, Sadie
author_facet Pangerl, Sabine
Sundin, Deborah
Geraghty, Sadie
author_sort Pangerl, Sabine
collection PubMed
description AIMS: To investigate Group B Streptococcus (GBS) colonization in pregnancy; adherence to antenatal GBS screening and adherence to the intrapartum antibiotics protocol within two models of care (midwifery and non‐midwifery led). DESIGN: This retrospective quantitative study has employed a descriptive design using administrative health data. METHODS: Data from five maternity hospitals in metropolitan and regional Western Australia that included 22,417 pregnant women who gave birth between 2015 and 2019 were examined, applying descriptive statistics using secondary data analysis. RESULTS: The study revealed an overall GBS colonization rate of 21.7% with similar rates in the different cohorts. A lower adherence to screening was found in the midwifery led model of care (MMC, 68.76%, n = 7232) when compared with the non‐midwifery led model of care (NMMC, 90.49%, n = 10,767). Over the 5 years, screening rates trended down in the MMC with stable numbers in the counterpart. Adherence in relation to intrapartum antibiotic prophylaxis revealed discrepant findings between the study groups. CONCLUSION: Adherence to screening and management guidelines of maternal GBS colonization in pregnancy is lower within the MMC when compared with the NMMC. IMPACT: This is the first cohort study to describe the adherence to the recommended Western Australian GBS screening guidelines in the two different models of care. Findings may assist in the guidance and improvement of clinical protocols as well as the planning of clinical care in relation to GBS screening to reduce the risk of neonatal GBS infection.
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spelling pubmed-95464372022-10-14 Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy Pangerl, Sabine Sundin, Deborah Geraghty, Sadie J Adv Nurs Research Papers AIMS: To investigate Group B Streptococcus (GBS) colonization in pregnancy; adherence to antenatal GBS screening and adherence to the intrapartum antibiotics protocol within two models of care (midwifery and non‐midwifery led). DESIGN: This retrospective quantitative study has employed a descriptive design using administrative health data. METHODS: Data from five maternity hospitals in metropolitan and regional Western Australia that included 22,417 pregnant women who gave birth between 2015 and 2019 were examined, applying descriptive statistics using secondary data analysis. RESULTS: The study revealed an overall GBS colonization rate of 21.7% with similar rates in the different cohorts. A lower adherence to screening was found in the midwifery led model of care (MMC, 68.76%, n = 7232) when compared with the non‐midwifery led model of care (NMMC, 90.49%, n = 10,767). Over the 5 years, screening rates trended down in the MMC with stable numbers in the counterpart. Adherence in relation to intrapartum antibiotic prophylaxis revealed discrepant findings between the study groups. CONCLUSION: Adherence to screening and management guidelines of maternal GBS colonization in pregnancy is lower within the MMC when compared with the NMMC. IMPACT: This is the first cohort study to describe the adherence to the recommended Western Australian GBS screening guidelines in the two different models of care. Findings may assist in the guidance and improvement of clinical protocols as well as the planning of clinical care in relation to GBS screening to reduce the risk of neonatal GBS infection. John Wiley and Sons Inc. 2022-04-15 2022-10 /pmc/articles/PMC9546437/ /pubmed/35429021 http://dx.doi.org/10.1111/jan.15249 Text en © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Papers
Pangerl, Sabine
Sundin, Deborah
Geraghty, Sadie
Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title_full Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title_fullStr Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title_full_unstemmed Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title_short Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy
title_sort adherence to screening and management guidelines of maternal group b streptococcus colonization in pregnancy
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546437/
https://www.ncbi.nlm.nih.gov/pubmed/35429021
http://dx.doi.org/10.1111/jan.15249
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