PATIENT PREFERENCE FOR SELF-COLLECTED CULTURES FOR GROUP B STREPTOCOCCUS IN PREGNANCY

Authors

  • Margaret C. Taylor CNM, MSN,

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    • Margaret C. Taylor is a nurse-midwife in private practice in Memphis, Tennessee. Ms. Taylor's first nursing degree was an ASN (1979) from Memphis State University. She received a certificate in nurse-midwifery from the Medical University of South Carolina in 1986. Subsequent degrees include a BSN (1993) and an MSN (1994) from the University of Tennessee, Memphis. The material presented here is from Ms. Taylor's graduate thesis on group 8 streptococcus.

  • Brian M. Mercer MD,

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    • Brian M. Mercer is associate professor in the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Tennessee, Memphis. He is a graduate of Queen's University, Kingston, Ontario, Canada (BA), and the University of Ottawa, Ontario, Canada (MD). Dr. Mercer is a well-known researcher and lecturer on group B streptococcus, premature rupture of membranes, and preterm labor.

  • Kay F. Engelhardt WHNP, PhD,

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    • Kay F. Engelhardt is a Women's Health Nurse Practitioner and Professor in the Department of Primary Care Nursing, University of Tennessee, Memphis. She assumes major responsibility of graduate content related to maternity nursing and is principal investigator of research examining the relationship of sexual steroids to cardiac autonomic function in women. She is a graduate of the University of Iowa (BSN), University of Colorado (MSN), and University of Wisconsin, Madison (PhD).

  • Joyce L. Fricke RNC, MLS

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    • Joyce L. Fricke is a Clinic Coordinator in Maternal Fetal Research in the Department of Obstetrics and Gynecology, University of Tennessee, Memphis. She is a graduate of Colorado State University (BA), Simmons College, Boston, MA (MLS), and Mattatuck Community College, Waterberry, CT (ASN).


Address correspondence to Margaret C. Taylor, CNM. MSN, 2493 Spey Drive, Memphis, TN 38119.

Abstract

To determine pregnant women's preference for self-culture technique, 251 women between 24 and 42 weeks' gestation were interviewed after performing self-collected cultures (vaginal and rectal) for group B streptococcus. Patient receptiveness to self-culture, the ability to perform self-culture, and the desire for choice in the future were derived using the Patient Preference Tool. The majority of women (77%, n = 194) gave positive descriptions of self-culture technique, and the majority of women preferred self-culture technique over nurse-collected sampling (57%, n = 142). Seventy-nine percent (n = 197) stated their desire to have a choice about self-culture in the future when similar testing was needed, and 89% (n = 224) believed that other women would also like this choice. Additionally, patient samples were highly correlated with nurse-collected samples for accuracy of culture results. This study provides data supporting that women desire active participation in their care.

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