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So sad about GBS - Page 2

post #21 of 38
Thread Starter 
Wow, I found a copy of that study here.

The results:
Although the rate of water contamination was significantly higher in the study than in the control group (P b 0.001), the neonates born in water were less frequently colonized with GBS than those born in a traditional
environment, even when preterm rupture of membranes occurred (nasal swabs, P = 0.005; pharyngeal swabs, P = 0.024). All neonates colonized with GBS were born to GBS carriers.

The 2 groups were similar with regard to referral to the neonatal intensive care unit, neonatal infection rate, and neonatal fever rate. Conjunctivitis was noted in 5 neonates in the study group and none in the control group, but the difference was not significant. Swabs taken from the eyes revealed no evidence of GBS. The lower rate of colonization with GBS among neonates born in water may be due to a wash-out effect during the gentle but swift movement through the water to the mother’s chest.
post #22 of 38
Hey Nicole and everyone going through this - I understand your frustration and disappointment. After a near perfect pregnancy, I just tested + too and it really got me down for a while. Luckily, though I may not have time, my midwives will gladly retest me next week so I have launched into this regimen (decided after talking with two midwives, one doctor, and tons of googling): 500 mg vitamin c every 4 waking hours, 1000 mg echinacea daily, 1 container of Bio-K daily (massive dose probiotic drinkable product), lots of raw garlic in my diet and a lightly crushed garlic clove up my bum every night. Everything I read online said to use it vaginally but my midwives explained that the bacteria gets to your vagina from your digestive/rectal tract so it is more effective to get the garlic closer to the source. Makes sense. No fun though especially since you can taste it in your mouth within moments of sticking it in there. Freaky gross!

The thing that pisses me off most about this is that there doesn't seem to be much talk about preventing GBS in advance of the testing (except for here of course!). My midwives never said a thing before handing me the swab. Maybe I just read the wrong books? Oh well, I'll know for next time!

One last thing about antibiotics - I always have a nasty reaction to them so haven't taken any for years, nor do I want to now though I probably will if I stay + or don't have time to be retested. From what I gather, receiving a few "bursts" of penicillin by IV is very different from taking a course of pills over ten days or so. There is supposedly far less chance for the antibiotic to wreak havoc on our systems and leave us weaker and more susceptible to other illnesses. I'm such a skeptic but am hoping this is true.
post #23 of 38
Thread Starter 
Quote:
Originally Posted by League_mama View Post
A couple of questions about the treatments you all are trying--how are you doing the Hibiclense? My m/w said just put some on a soapy rag and suds up a couple times a day. I'm thinking my vaginal area is not going to survive that kind of attention, as I've done it twice and it's already a bit sore?
From my reading it looks like it is unecessary to use Hibiclens prior to labor since it's a temporary solution. It will kill the strep, but only for a short period. Since strep b lives in your intestines, you're going to get it again. It may give you a negative on the test, but that's not going to help you in labor (if you are in fact positive).

So my plan is to do an external wash and very light douche at the start of labor, and then again in 4 hours as necessary (20:1 solution). Double check with your MW on the timing, strength, etc., but this is what I keep seeing in my lay-person research.
post #24 of 38
Yes using the hibiclens every 4 hours is supposed to be helpful from what I've read too, just the 1:20 parts in a peri bottle squirted over your labia (you don't need to douche with it or anything).

I'm going to do that along with the other ideas to help reduce colonization for my next appt (and then have to push to retest), and while I know its really fooling the test into getting a negative reading (doing hibiclens before going in) I just don't want to be pushed into the antibiotics or have to have baby stay 48 hours otherwise (is that the standard? I need to ask for my facility but from what I'm reading that's what it seems like) as I'd really like to get to leave as soon as possible after birthing as I can convince them to let me go (I'd worry about signing baby out AMA) and I'd like to go in as late in labor as possible (and not have to worry about showing up in enough time to get the antibiotics).

Then in labor I would also do the wash sneaky like and would be comfortable with that.
post #25 of 38
Quote:
Originally Posted by League_mama View Post
What is the European take on this? They're so much more supportive of non-invasive birth experiences...
Well Europe is a big place, with lots of countries that all have their own protocol regarding GBS. Here in Switzerland we do not routinely test for GBS. We look for risk factors around labour and generally monitor and inform parents on what to look for. (I am a student midwife) I can give you the guidelines we give parents if you like.

IIRC, in the UK they also do not offer routine screening for GBS as per NICE guidelines. I don't believe it is routinely offered in Sweden either. These are the countries I am familiar with.

I wasn't tested and didn't want to be. If you are having a home birth or hospital birth and are GBS+ you can also have an intramuscular injection of ABX instead of running an IV.

In any case, try not to worry to much about being GBS+ it will likely not be a problem. If you don't want the IV, you can have the IM injection, if you don't want either there is a lot of support for refusing abx altogether. This is another reason why I don't like routine screening, it just makes people worry unnecessarily. I'd rather be an attentive HCP watching carefully and weighing the risk factors and not rely on abx to "solve" the problem.
post #26 of 38
Quote:
Originally Posted by StarMama View Post
or have to have baby stay 48 hours otherwise (is that the standard? I need to ask for my facility but from what I'm reading that's what it seems like) as I'd really like to get to leave as soon as possible after birthing as I can convince them to let me go (I'd worry about signing baby out AMA) and I'd like to go in as late in labor as possible (and not have to worry about showing up in enough time to get the antibiotics).
There is no good reason to keep your baby longer than 12 hours for GBS monitoring barring other risk factors. Early onset happens within 12 hours of delivery, in the vast majority of cases (90%, I believe).
post #27 of 38

About the IV

I am GBS + and once finding out from my Dr. was concerned even though she had stated that its a very small chance of women who carry pass it on to their children but that they would want to treat me with an IV when I arrive at the hospital. Whats bothering me so much is, even though I haven't had any reactions to abx before I read that the chances of anaphylaxis is 1:10,000 chance even without allergies to abx. I've been fine with prior abx treatments in my life except for when taken I got severe yeast infections everytime for me no matter how much yogurt or probiotics I took during the treatments.

Does anyone know whether or not IV abx's cause yeast infections as well?

Also when treated with an IV for + can they just administer the abx and you request leaving the needle in but not being hooked up to a bag during the whole labor? I was very busy during my last pregnancy/labor and needed to move around a lot with my first labor in different positions, and its honestly giving me anxiety worrying about being tied down to a pole, so if anyone has info on this and whether I can demand the line be taken off after the first dose and re hooked up for the other doses in between contractions/showering, position changes etc, would be mighty helpful. Daddy already has said he prefers me to get the abx even though I really don't like the idea of getting it, because he'll be upset if the baby gets sick (who wouldn't be :P)
post #28 of 38
Quote:
Originally Posted by etoilech View Post

I wasn't tested and didn't want to be. If you are having a home birth or hospital birth and are GBS+ you can also have an intramuscular injection of ABX instead of running an IV.
Sorry didn't even see this prior to my post, thats interesting, so I can demand an IM dose instead?
post #29 of 38
They do it here. I suppose it would be a good idea to discuss it with your HCP before "demanding" it. I can't see a good reason for not offering it as an alternative.
post #30 of 38
Quote:
Originally Posted by ebbybaby View Post
Does anyone know whether or not IV abx's cause yeast infections as well?

Also when treated with an IV for + can they just administer the abx and you request leaving the needle in but not being hooked up to a bag during the whole labor?
my homebirth midwife will administer the IV abx during labor in one dose (repeated every 4 hours if necessary, but i've never had a labor that long) -- it's a baggie that takes about 15 minutes to drain. during that time, if i want, i'll be able to move/walk/do anything i want (she'll follow me around with the bag). i figure it won't be a huge hassle. if you're giving birth in a hospital, there may be a different protocol... you should ask your dr.

as for the yeast infection, well, i think some women can get them after the IV abx. i'm taking extra probiotics already, and will continue them & keep my fingers crossed after the birth.
post #31 of 38
One thing to note, if you are allergic to penicillin... I don't think you can have the IM injection, at least over here there is no alternate form for people who are allergic. Obviously, this could be different in the USA. It does sting as well (as most IM injections do).
post #32 of 38
Quote:
Originally Posted by ebbybaby View Post
Also when treated with an IV for + can they just administer the abx and you request leaving the needle in but not being hooked up to a bag during the whole labor? I was very busy during my last pregnancy/labor and needed to move around a lot with my first labor in different positions, and its honestly giving me anxiety worrying about being tied down to a pole, so if anyone has info on this and whether I can demand the line be taken off after the first dose and re hooked up for the other doses in between contractions/showering, position changes etc, would be mighty helpful. Daddy already has said he prefers me to get the abx even though I really don't like the idea of getting it, because he'll be upset if the baby gets sick (who wouldn't be :P)
Not from your DDC, but if I test positive the birthing center I'll be at will just leave the heplock in my arm between IV bags. No need to be hooked up to it the whole time. Make sure you ask your provider though, there might be different procedures depending on if you are at home/birth center/hospital.
post #33 of 38
Ahh ok, thanks for the replies, I'm going to pick up some probiotics to start taking prior to admitting to help prevent the yeast infection, I can't imagine giving birth and what it would feel like to get a yeast infection afterwards when you already have that healing, itchy, dryness going on down there and obviously not being able to use the traditional yeast infection treatments.
It would drive me absolutely insane...

I'm going to mention the IM injection with my DR and also about the IV line not being connected the entire time. I don't see it really being reasonable to be hooked up to an IV during the entire labor when you don't need it medically other than for the abx, god even the idea of getting the abx stresses me out with all these superbugs and stomach problems babies seem to have now. Anyways thanks for the replies, I'll check with my Dr and get back to you with how that goes next week.
post #34 of 38
Just got back from my 37 week apt and I tested positive. My doc was very unconcerned though and really sweet (I LOVE her). She just said I'll need to have the antibiotics when I arrive at the hospital but I'll still be free to walk around and get in the shower. So it won't be a big deal. I'd rather deal with the antibiotics and the potential side effects than if I didn't take them. So far everything has been good and the research I've done says most of the problems come when the baby is premature. So I'm not going to stress about it. Thanks for all the good suggestions!!
post #35 of 38
I found out at my 37-week checkup today that I'm GBS+ this time -- my first time ever! I'm not stressing about it, and neither are the midwives -- they just said to do what I would normally do as far as coming in to the hospital, since I've never had a precipitous labor before. If I deliver before the four hours are up, though, they'll apparently just keep us an extra 24 hours to watch the baby for signs of infection. My friend who's an L&D nurse says it's really easy to tell if something is going wrong, and that it rarely does, so I'm not stressing about it either way.

This does make me glad I haven't so far been inclined to have my water break early at all. And better that it should happen in my third pregnancy, when labors tend to be shorter, than in my first, which dragged on for 2 1/2 days!

I'm a little concerned about getting thrush, though. I've had it before, and it blows! Would it help me at all to start taking a probiotic now? Or would it be a waste of time to do it before I'm actually exposed to the abx?
post #36 of 38
Quote:
Originally Posted by Swandira View Post
I'm a little concerned about getting thrush, though. I've had it before, and it blows! Would it help me at all to start taking a probiotic now? Or would it be a waste of time to do it before I'm actually exposed to the abx?
me too (though i've never had it before).

i've been taking a probiotic for weeks now, as i figure it can't hurt -- and it can only help keep the GBS colonization lower (therefore lessening the risk to baby, hopefully). i'll keep taking it after birth and keep my fingers crossed.

like you, i expect my labor to be too short for the abx to be either administered or to work properly, so the stronger i can keep my immune system & my gut health until that point, the better for everyone...
post #37 of 38
Quote:
Originally Posted by etoilech View Post
We look for risk factors around labour and generally monitor and inform parents on what to look for. (I am a student midwife) I can give you the guidelines we give parents if you like.
Yes, please.
post #38 of 38
Quote:
Originally Posted by sarahmagoo View Post
Yes, please.
I posted them here.
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