If you're planning on "oops....the baby came too fast!"...

[SarahInCA]

Do you call your provider (in my case, a CNM at a birthing center) to tell them you had the baby? At what point? What if you're strep B pos? I was with my last two, and they wouldn't let me leave the BC until ds's blood count was "acceptable" because I didn't get both doses of abx during labor. If I am pos this time, and "accidently" have a UC, I don't want them to tell me to bring ds in because of this. But I also don't want to just not tell them...they're going to wonder why I didn't tell them eventually. I'm thinking maybe the next day, I just call and say "baby came too fast. We're all doing well.". But are they going to want me to come in to be checked? And will they tell the ped about ds if I was B pos?

I'd love to hear stories/ experiences with this.

[karanyavel]

No stories, I'm afraid. I'm on the fence about oopsing -- and it may be out of my hands as I have VERY fast labors and the birth center is 45 minutes away. So I talked to the midwife about this today and she said that if we can't make it, just keep the baby warm with skin-to-skin contact, don't worry about the cord, and come as we are.

That's what I think I'd do because I really don't want the birth certificate hassle. I'm GBS negative, though. Were it not for the fact that getting a birth certificate would be a huge hassle, I'd probably just UC and then bring in baby to the ped after a couple of weeks, saying I'd had a homebirth but not mentioning the part where I was alone.

--K

[MyBoysBlue]

I did an oops and I was GBS +. My story is here:

http://www.mothering.com/discussions...d.php?t=669634

I just think I was very lucky to have gotten the doctor I did. Others wouldn't have been as understanding.

[Evergreen]

I think I'd call the ped. before the birth center and see what he or she suggests about the GBS. I didn't get GBS tested last time and ended up with a hospital birth. Our ped was on call at the hospital at the time and he wanted to monitor her for 48 hours (meaning keep us both in the hospital- she didn't have to be in a nursery or anything though) but he did say that he'd be able to tell within a few hours if there was a problem though.

[SarahInCA]

Loved your story, Myboysblue! Thanks for the tips, mamas!

[Marissamom]

we're going with a home-birth midwife, so if we "oops" (which I haven't decided about) I'll probably had DF call while I'm pushing. that way they show up to do the newborn exam and if I need any post-partum care. don't know what I would do if my care provider was birth center or hospital-based.

[MyBoysBlue]

Originally Posted by Evergreen

....but he did say that he'd be able to tell within a few hours if there was a problem though.

Maybe that's why they didn't seem too concerned when we went to the doctors office. He was around 14 hours old by that time. If he had picked up GBS it would have already been apparent.

[blissful_maia]

Originally Posted by Evergreen

...but he did say that he'd be able to tell within a few hours if there was a problem though.

This is actually totally untrue. Early-onset GBS disease (from GBS acquired during labor/delivery) can present at any time during the first week of life.

However, if you have no risk factors (which are: a fever in labour, preterm labour, prolonged rupture of membranes >18h, a UTI caused by GBS in pregnancy or a previous baby with GBS disease) then your risk of your baby contracting and becoming seriously ill with GBS are very, very low. In fact, even the mainstream obstetrical community here in Canada is considering only treating women who are GBS+ and have one of the above risk factors as a way of reducing the total number of mothers treated (and therefore less antibiotic-resistant strains and infections from bacteria not treated by the GBS antibiotics). The outcomes are about the same.

It's up to you how to proceed, but just feel confident knowing that if you don't have any of the risk factors, babe will most likely be just fine! Watch for things like lethargy, temperature instability, rapid breathing (>60 per minute after the first few hours of life). I don't think not having antibiotics in labor is a reason to bring the baby in unless any of those symptoms are present as well.

You could also try to eradicate the GBS from your vagina with probiotic washes/douches, yogurt suppositories, supplemental vitamin C, echinacea and cranberry extract. It might be a good idea to do those things anyway if you've been GBS+ twice before!

Good luck with your "oops" UC!

[heathenmom]

TBH, we were so concerned about whether she would be breech or not (not ) that my gbs status didn't cross my mind, before, during or after labor.

We had dd#2 at home Saturday evening. I was scheduled for a c/s for transverse presentation the following Wednesday, so I called the ob/mw office Monday morning to tell them the baby was here and we were fine, and to cxl the c/s and schedule my 6 week post partum visit. The mw called me back that morning to check on me and nobody mentioned my gbs status at all (I tested positive).

I called the ped that Monday as well, to schedule an appointment for a general checkup and pku test. I didn't think about mentioning my gbs status to them and they never asked. We took her in that Tuesday (I think) and he said she was perfect.

[Evergreen]

Originally Posted by blissful_maia

This is actually totally untrue. Early-onset GBS disease (from GBS acquired during labor/delivery) can present at any time during the first week of life.

It's not totally untrue. Babies with early-onset infection can develop symptoms within 7 days of birth but most commonly within the first day of life.

[blissful_maia]

Originally Posted by Evergreen

It's not totally untrue. Babies with early-onset infection can develop symptoms within 7 days of birth but most commonly within the first day of life.

Right. But you said "he'd be able to tell within a few hours if there was a problem though", which is not true. Just wanted to make sure the OP didn't think that if her babe was okay a few hours after the birth that he/she was in the clear.