Group Strep B + Waters Break....

[oremstango]

Hi ladies,

After ds1 I'm now confirmed as a strep B carrier and treated as such. I was concerned when they told me that if my waters burst and labour isn't progressing they would want to induce to move things along. If I'm getting antibiotics as standard don't see the need for this as seems to be their timeframe/needs no mine. Curious if anyone ran into this in practice or knows anything further here?

Thanks.

Hiya, don't know too much but my waters went with DS and when things didn't progress they induced me (or tried to) to stop increased risk of infection. DS was 3 weeks early and I had tested +ve for strep b. They gave me the anti bioticcs and the drip for inducing.

I'm not sure that's any help at all but good luck

Anything here?
I dunno whether being a carrier is enough.
How many weeks are you? Don't you need to test again?
What does the MW say?

IN terms of waters breaking think that's not got anything to do with GBSS and more about risk of infection anyway but happy to be corrected on that.
Good luck

In the unit I work in your labour care will not differ apart from the use of IVAB. You will not need CEFM or augmentation if you are in spontaneous labour, if however, you have prelabour rupture of membranes they will not wait the usual 12-24hrs for labour to establish at home. You would be encouraged to commence syntocinon straight away to reduce the risk of ascending infection. Our guidelines are based on the RCOG and I would imagine most units would be the same. Hope that makes sense, and heres hoping for spontaneous labour!

yup, me too

wonder where on earth we got this bloody strep b from???

waters broke a tad, nothing happended, then after I think 22 hours they induced me

all I can say is if yiu get induced, its not the end of the world. Get the epidural, lie back and it comes out one way or another!

With me they didn't have time for the anti-biotics (despite two very painful attempts to insert a canual - ouch) as labour was so fast (arrived 50 minutes after we got to hospital) so DS just got them for the few days we were kept in for.

Very helpful, thanks ladies.

What gestation are you? I am not sure about how the gbs affects things, but my waters broke at 14 weeks and I am now almost 22weeks and still pregnant. They are trying to get me to 24 weeks but will then let the pregnacy continue until I go into labour or there is a reason to induce me. However, although it is extremely unlikely, if I get to 34 weeks they will induce me then as the risk of infection increases massively then.

Antibiotics reduce the risk of certain infections, but not all as different anti biotics treat different infection types. An infection could seriously put your life and that of your baby at risk and after 34 weeks babies have as much chance of survival as a term baby anyway, so the risk of delivery is far less to both of you than continuation of the pregnancy.

Hope that helps.

When my sister had her first baby she had around 12-15 hours between waters going and birth. The placenta tested positive for group b strep, although for some reason they didn't give her DD anti-biotics.

2 years later when her son was born (and his waters went minutes before birth) she wasn't told in advance to have antibiotics in labour (so she turned up late) but the hospital insisted on gaving him antibiotics after birth as a precaution.

When she had her 3rd child she paid for a private swab at 37 weeks which confirmed she was clear of group b strep, and she spoke to a consultant who confirmed that no need for anti-biotics either before or after - because neither of her children had group b strep, it was just the placenta - and this was probably because of the time delay in her first birth.

So course she turned up late again and the hospital wanted to give her daughter the anti-biotics post birth as a precaution but she declined - on the basis that her swab at 37 weeks was clear.

The point I was trying to make is get all the information up front so you know what to expect, and also that there are different views on what is required.

Its not clear from your OP whether your DS actually had streb b (in which case you are high risk) or just whether you were found to carry it during his pregnancy.

www.gbss.org.uk/content.php?section_id=3&sub_id=9&content=Who Is At Risk

here is the link:

www.gbss.org.uk/content.php?section_id=3&sub_id=9&content=Who Is At Risk

"Simply carrying GBS previously, without a positive test result during the current pregnancy, does not mean a woman should be offered intravenous antibiotics in labour unless one or more other risk factors are also present."

A swab can be done at 37 weeks to see if you have it, although sadly this test not available on NHS.