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Reassess each four hours: If the girl has not entered the active phase within eight hours, think about supply by caesarean section, but ensure the patient just isn't in false labour If membranes are already spontaneously ruptured, induce or increase labour directly In areas of high Group B streptococcal prevalence, give antibiotic prophylaxis starting at 12 hours after rupture of the membranes to help reduce Group B streptococcus an infection in the neonate If there's any proof of amnionitis, increase labour immediately and deal with with antibiotics. The carina is proven nicely the place the trachea branches into the proper and left main bronchi. There aren't any basic recommendations for therapy modifications for patients with a poor general situation (Karnofsky < 50%) or prolonged liver infiltration (> 50%) treatment yeast infection women domperidone 10mg mastercard.
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