It is important that you have a GOOD conversation with your midwife. Please do a lot of research.
-GBS infection in the NB is rare 1 baby for every 100-200 women who are GBS positive... however when it happens, it is rapid. Death is a definite possible outcome; brain damage is possible... the "lessor" effects of having a very ill newborn and having that baby in a NICU, unable to nurse, etc... while "better" than death, leave their own mark on the mother and baby.
- Risk of anaphylaxis to ABX is 1 in 5000- 10,0000;
- Yeast infection is a very real possibility after having such mega doses of antibiotics
- Prophylactic use of abx in labor reduces GBS infection (early onset) by 86%
- Not enough studies have been done, with a large enough sample of women to prove that vaginal chlorhexidine is just as effective. Please read the Cochrane review... which is the "go to" study review, which picks apart collections of studies specifically to say if the studies themselves were done well/appropriately.
(the cochrane review has also stated that there needs to be more research regarding homebirth safety, but has not declared it unsafe practice)
Do not base your decision on other people's choices: "Oh, I did hibiclens, and we were fine"
I practice both at home and in a birth center. We have women who choose abx, women who decline abx, women who want to use hibiclens, women who chose abx but then have such a fast labor that we can't give them....
We haven't had a case of GBS infection. It is a rare thing... .5-1%... however, if it is YOUR baby who is sick, it becomes 100%. Only YOU know your heart, and only you know how you will deal with an outcome if your baby is sick, and you either "fudged" results by sanitizing your vagina before the culture... or by waiting until signs of infection are present. Please research and know all the possible outcomes.
The midwife I practice with used to work in-hospital, and she has seen a few GBS infected NBs. She has stated that it is "awful", very rapid onset, and frightening for the parents (and care-givers!)