In veiw of new GBS guidlines, I have a question; what to do with a term baby with history of prolonged ruptur of membrane for 4 days and maternal GBS status was negative, no chorioamnionitis, and baby is asymptomatic. what to do if mother received anitibiotics and if she did not receive antibiotics.

Thanks

We make blood colture and crp at birth and repeat crp daily until 72 hours, unless the baby becomes syntomatic needing antibiotic therapy

We would do this differently - admit the family to the maternity ward as usual, check status (the midwife takes temp, breath frequence and pulse) every 6 hours the first day (at 6, 12 and 18 hours) but not later if the baby is completely well after 24 hours. The baby stays at least 48 hours on the maternity ward.

We check CRP and blood counts on liberal indications though.