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Pregnancy

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

Strep B Question

13 replies

Buddhababe · 23/06/2008 19:54

Hi

I had strep B on my last pregnancy and I would like to be tested again nearer the time to see if I am still positive. How does it work in the UK (i had my first in a different country)? Who do you request the test from? What happens here then when you go into labour, are you brought in straight away for the antibiotics? Thanks

OP posts:
littleboyblue · 23/06/2008 19:56

I demanded this test everytime I saw my mw, she finally agreed and took a swab, but ds was born before I got the results.
Good luck!
My mw said to me that it's not standard in this country as you can get positive test one week and a negative the following week.

BabiesEverywhere · 23/06/2008 20:01

If you want to go private details here

Buddhababe · 23/06/2008 20:04

how long were you waiting for the results for littleboyblue? I read you are meant to get tested somewhere between week 35/38 or something. Did you get the test nearer to your due date or something?

Does anyone know if you can get it via your GP if the midwives won't do it? Also, for those of you who were positive for Step B, did you go to the hospital straight away. Seems very unclear from what I read/hear. Thanks!

OP posts:
welshlinz · 23/06/2008 20:09

hi, i had strep b with first pregnancy. You must tell your midwives you had it with first baby and they will automatically sort you out with antibiotics for delivery. If they don't, stress you need this as it never leaves the system once you are a carrier.

As for the antibiotics they need to be given four hours before you give birth so mention it as soon as you arrive into hospital. They hookied me up too late really buut luckily everything went fine Good luck xx

welshlinz · 23/06/2008 20:09

hi, i had strep b with first pregnancy. You must tell your midwives you had it with first baby and they will automatically sort you out with antibiotics for delivery. If they don't, stress you need this as it never leaves the system once you are a carrier.

As for the antibiotics they need to be given four hours before you give birth so mention it as soon as you arrive into hospital. They hookied me up too late really buut luckily everything went fine Good luck xx

littleboyblue · 23/06/2008 20:18

I think I got tested at about 38 weeks, I also went over 6 days, but didn't see mw again, and I was so scared at the prospect of giving birth that my brain was a bit all over the place.

littleboyblue · 23/06/2008 20:19

Oh, but healthcare in my part of the world is rubbish! they all so lazy

BabiesEverywhere · 23/06/2008 20:22

Strep B actually comes and goes a bit like a cold sore, so even if you were positive in one pregnancy, you could be clear in the next.

Antibiotics have their own risks, NICE only recommend antibiotics be considered when another risk factor occurs like labour before 37 weeks, PROM or maternal fever during labour.

It is possible instead of the mother having antibiotics during labour, to montior baby closely for first 48 hours and treat baby with antibiotics if the baby develops a fever.

Lastly the very worst strain of Strep B is resistant to antibiotics and there is a school of thought that suggests using antibiotics during labour can be self defeating, as if the mother has the worst strain than that is the one passed to the baby. No solid research on this point, so I won't weight it seriously.

I am going to have a private test shortly and if I am negative great no worries. If I am positive but develop no additional risk factors then I will monitor baby closely. If I develop a risk factor I will rethink and try and get antibiotics at home.

welshlinz · 23/06/2008 20:28

babies, yes I have heard that you may not be active at the time of labour with strep B but it will lie dormant in your system as does the coldsore virus, herpes.

I'm purely going off the advice I was given off my midwife but I personally wouldn't take the risk of not having the antibiotics at time of labour ( want to stress, this is only my opinion )

Yorky · 23/06/2008 20:31

Thank you for that babieseverywhere, I got a +ve GBS result from a urine sample before 16wks so my midwife told me it was hospital, antibiotics and continuous monitoring with no possibility of a waterbirth. I was in floods of tears.
Rang the local MLU and they were lovely, said I was welcome to go there but they couldn't give me ABx and said it was a massive dose for a tiny person and GBS is very common in mothers, but a rare, albeit serious problem for babies. I felt better after that but my midwife is still wanting to do it all by the book and do a swab at 28 weeks (seems early to me) If I have decided after research that I'd rather monitor baby than take drugs I may not need, should I bother with the swab?
Sorry to hijack thread.

finallypregnant · 23/06/2008 21:00

I got a test done privately. it cost £32 and I got the results within a couple of days by text and then in writing.

Buddhababe · 24/06/2008 08:12

thanks all for the replies. I will ring the midwife today and see what she says although I get the feeling this is a question she really doesn't want to be bothered with!

It is hard to empower yourself really with all the coflicting information isn't it, doesn't make me confident at all!

OP posts:
BabiesEverywhere · 24/06/2008 08:26

Yorky, Retests are suggested at 35 to 37 weeks according to the private tests.

Many mums try to remove the strep B infection by using garlic protocol. There was a mumsnetter who posted recently that this worked for her.
I have copied and pasted the following information from an email from my doula....HTH
----------
Garlic protocol:

Break a fresh, hard clove from a bulb of garlic and peel off the paper-like cover. Cut in half. A whole clove will NOT work. A crushed clove releases more allicin, but is harder to insert. Sew a string through it for easy retrieval.

Put damaged garlic clove in your vagina in the evening before you go to sleep. Many women taste garlic in their mouths as soon as it is in their vagina- so it is less pleasant to treat while awake.

In the morning, the garlic may come out when you poop. If not, many women find it is easiest to take it out on the toilet. Circle the vagina with a finger, till you find it. It cannot enter the uterus through the cervix. It cannot get lost- but it can get pushed into the pocket between the cervix and the vaginal wall.

Most people will taste the garlic as long as it is in there. So if you still taste it, it is probably still in there. Most women have trouble getting it out the first time.
For easy retrieval sew a string through the middle of the clove before you put it in- You don't want to get irritated in the process of getting rid of the GBS. Be gentle. Dot scratch yourself with long nails. Repeat this for 8 nights (around week 36). Or for 2 nights on, 1 night off, for 5 times (8 nights in 15 days)
After the eight night of treatment, get cultured at the health care place you go to. Before you go to get the culture, wash perineum and rectal area with soap and put on clean cotton underwear. GBS usually lives in your large intestine, and from there contaminates the vagina. A Rectal/Vaginal culture is done with a cotton swab inserted into the vagina and then into the anus.

When women are treated with antibiotics, the GBS returns soon after antibiotics regime is finished. The same is probably true with garlic. Therefore, if you culture positive and then use garlic to get a negative culture, you might consider inserting garlic once a week until you deliver the baby.

The level of garlic "smell" is a very poor indication of the real amount of allicin (active ingredient) that is generated. The olfactory receptors of the average person are so sensitive that even 1 mg of allicin molecules in the air will saturate the receptors so our nose and seem the same as 100 mg.

Allicin is gradually produced in the crushed clove for about 2 hours after the clove is damaged and simultaneously degraded. Once in contact with the mucosa or bacteria it degrades rapidly. No one knows how long it can be active when in contact with mucosa. We know that if you drink pure allicin within 5 minutes you can not detect it anymore because it all got adsorbed through the mucosal lining.

Bacteria are about 30 times more sensitive to allicin than human cells but at high concentrations also human cells suffer so in conclusion it would be more effective as an antibacterial and less toxic to the mucosa if women would use smaller amounts of crushed garlic with more frequent changes.

If you decide to try this protocol, please email me with as much information as possible: [email protected] and put GBS in the subject line:

  1. History of GBS on previous pregnancy or is this your first pregnancy?
  1. Garlic treatment = _ nights? Half clove? Full clove?
  1. Date of culture- was it urine culture? recto-vaginal swab? Vaginal culture?
  1. Results of culture after garlic treatment.
  1. Please describe any adverse/untoward events

I will publish the results as soon as I have the results of 300 women who have used the protocol. No personal identification information would be kept ? your information will be combined with others and hopefully published in tabulated form in a medical journal, so that future patients would benefit from your efforts.

Read more:

www.cdc.gov/mmwr/PDF/RR/RR5111.pdf

http:

References:

  1. Prevention of fumonisin-induced maternal and developmental toxicity in rats by certain plant extracts. J Appl Toxicol Nov-Dec 2004;24(6):469-74.
  1. Emergence of Long-Term Memory for Conditioned Aversion in the Rat Fetus. Dev Psychobio 2004; 44: 189?198.
  1. Protective effects of garlic juice against embryotoxicity of methylmercuric chloride administered to pregnant Fischer 344 rats. Yonsei Med J. 1999;40(5):483-9.
  1. The effect of garlic on plasma lipids and platelets in primips with high risk of preeclampsia. Eur J Obstet Gynecol Reprod Biol. 2001 Dec 1;99(2):201-6.

PS. In case you were wondering: Garlic ingestion by pregnant women alters the odor of amniotic fluid. Chem Senses. 1995 Apr;20(2):207-9.

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