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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Anyone had/have or know about Strep B please?

6 replies

Radley · 10/05/2007 14:43

Can anyone help please?

One of my closest friends is 40+2 and up until yesterday the midwives weren't aware that she has strep B, even though she had mentioned very early on in the pregnancy (she couldn't remember the name of it), she found out yesterday that the midwives weren't aware etc, they have given her some information which has panicked her, and also, she is allergic to penicillin.

I've been to see her this morning and she is understandably upset. I would like some info/advice from anyone who knows more or has been through the same so that I can ring her later and hopefully make her feel better. She is terrified for the baby and also angry at the midwife for not picking up on it.

It breaks my heart to see her so upset and I want to help all I can.

OP posts:
Babylovesmuffins · 10/05/2007 14:46

Radley - there was a thread on Strep B yesterday - will see if I can find it for you

Babylovesmuffins · 10/05/2007 14:49

Hope this works!

Strep B

mrsmalumbas · 10/05/2007 14:54

Good article \link{http://www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html}here

Reassure her that the risks are very low. Even if she is a Hep B carrier she may not have active GBS colonisation at the time of birth, and even if she does, the chances of passing it to the baby assuming a normal birth and a healthy baby are VERY low. The risk increases with premature babies, premature rupture of membranes, or if she has a fever. There are alternatives to antibiotics and these are mentioned in the article.

mrsmalumbas · 10/05/2007 14:55

Ooops here

mrsmalumbas · 10/05/2007 14:55

Strep B, not Hep B - argh!

SpawnChorus · 10/05/2007 15:09

I tested positive for GBS and chose to have antibiotics during labour with DD as a precautionary measure. You can read more about GBS here

I read about GBS extensively, as I realised that having the antibiotics would compromise my preferred birth-plan (minimal intervention, and preferably waterbirth), but was still unprepared for certain aspects.

For example my waters broke prior to having any contactions. I phoned the hosp and they asked me to come in asap. On arrival they examined me and told me that they wanted to start an induction. I was really shocked by that. I knew that prolonged rupture of membranes can pose a risk to the baby, but I thought they would just want to monitor me, or perhaps start giving me antibiotics.

Anyway, I declined the induction and asked to be given a dose of ABs. I then discharged myself from the hosp and went home to see if I could get things started on my own. A few hours later the contrax had started and I returned to the hosp. They continued with the doses of ABs for about 12 hours. I also had to have a strap-on monitor thingy, and I wasn't allowed a waterbirth. I did feel somewhat 'hassled' by the hospital to speed things up. Eventually I gave in and allowed an augmentation and epidural.

With DS I was more prepared. Spoke to the midwives and hospital in advance of birth to try to negotiate waterbirth PLUS IV antibiotics. They were very understanding (it was a diff hosp btw), and were prepared to help me as much as poss. In the end the labour was so fast that I didn;t have time for the required dosage of ABs...or a waterbirth lol!

Anyway, the point of this ramble is that your friend would be advised to speak to the hosp/birth centre and make sure that her plans won;t be unexpectedly scuppered (it's horrid whe you feel wrong-footed during labour). The IV antibiotics are not a big deal. She can ask them to put the drip into a more convenient vein (it's a bit annoying on the back of the hand, better on the wrist or arm). They take about 20 mins to flush through and she'll prob need them every four hours. She might want to take some probiotics with her for afterwards. There are many alternatives to penicillin.

She may of course decide not to have the ABs in which case she should remember that about 1 in 4 women have the bacteria and the vast majority have no probs. DS was monitored every 4 hours after the birth for 48 hours (as he hadn't received the required ABs during labour). I wasn't worried about him, but I felt glad that I was aware of the potential issue.

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