A 33-year-old woman, gravida 2 para 1, attends the GP at 36 weeks of gestation. Her vaginal swab taken at 35 weeks has returned positive for Group B S...

Question

A 33-year-old woman, gravida 2 para 1, attends the GP at 36 weeks of gestation. Her vaginal swab taken at 35 weeks has returned positive for Group B Streptococcus. She is well and has no symptoms. Which is the single most appropriate management?

Accepted Answer

Recommend intravenous benzylpenicillin during labour

Answer

Prescribe oral amoxicillin 500 mg three times daily for 7 days now

Answer

No treatment required as GBS carriage is transient

Answer

Arrange elective caesarean section to prevent neonatal infection

Answer

Prescribe intravaginal clindamycin cream

uk-drcog MCQ (SBA): Group B Streptococcus in Pregnancy

A 33-year-old woman, gravida 2 para 1, attends the GP at 36 weeks of gestation. Her vaginal swab taken at 35 weeks has returned positive for Group B Streptococcus. She is well and has no symptoms. Which is the single most appropriate management?