PFD report

Elsie Sue PLUMB · Prevention of Future Deaths report

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Issued 21 Oct 2014•Avon

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

Described in responses

Recipients and published responses

Source document

Full report text

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Concerns and recipient responses

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Concerns raised1

  1. Unclear guidance on offering intrapartum antibiotic prophylaxis following earlier GBS colonisation
Responses linked to these concerns

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No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Unclear guidance on offering intrapartum antibiotic prophylaxis following earlier GBS colonisation

Wider context from the report

“The consultant obstetrician and gynaecologist gave evidence and indicated that changes had taken place at the hospital to clarify guidance in relation to administering antibiotics to the mother, and when this should be done. He indicated that the Royal College of Obstetricians and Gynaecologists Green-top Guideline No. 36 titled “The Prevention of Early-onset Neonatal Group B Streptococcal Disease” at paragraph 5.4 on page 4 could be more clearly written. He stated that the sentence currently reads “If GBS colonisation was identified earlier in the pregnancy (by a swab taken for other reasons) immediate induction of labour and IAP should be offered”. He suggests that this sentence would be clearer if it were written as follows: “... immediate induction should be offered. IAP should also be offered, whether or not immediate induction is performed.” ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026