I tested positive with both previous pregnancies. During my second I was eating a no-sugar, low-carb, high-fat/protein diet and testing my blood sugar at least 4x per day due to gestational diabetes, so I know for darn sure that my blood sugar was stable (not sure why that would affect bacteria, but it certainly could help keep candida at bay) and I was taking big doses of probiotics and still tested positive. This time I kind of expect to, but my current MWs have some kind of antibiotic gel they recommend using and then retesting. They say all their patients come negative after that.
Originally Posted by dot1
My naturopath has said that every one of her patients who took probiotics (she recommends inserting in vagina, but I just took them orally) have tested negative for GBS. I ate lots of garlic, cut back on sweets and upped the protein to keep my blood sugars stable, and popped lots of probiotics for a few weeks prior to testing. Worked for me. Good luck.
IME it might not be worth refusing ABX if your hospital requires them (my first was born a hospital-based birth center, second at home and planning HB with this one. HBMWs have different protocols on this stuff). I didn't refuse the ABX but simply didn't get them in time b/c I had a short labor with my first. They did not administer IV ABX to my son but they kept us for 4 days in hospital to "monitor" him. Personally I would rather have the ABX than have my newborn hospitalized for days on end, or possibly have ABX administered to the baby or risk being accused of child endangerment. (A friend in another hospital had such a bad experience after missing the window of time for IV ABX-- her infant son had FOUR DAYS of IV ABX-- healthy full-term baby kept in NICU and mom sent home-- while they did bacterial cultures on baby who turned out to be... you guessed it... just fine).
This time I plan to do garlic suppositories and both oral and vaginal probiotics (didn't last time, b/c my MWs were fairly anti-ABX so I knew they wouldn't require them for me, they were ready to do hibiclense wash protocol if I had any additional risk factors like PROM, long labor, etc, which I did not... these ones are more mainstream in that regard... new city, new state, etc). I will also do the gel they require. I am allergic to penicillin which gave them some pause b/c it also changes what abx they can use in labor. My previous labors were quite short though, with my second MWs only got there 15 minutes before she was born... I have to also be prepared to not have time for IV...
I think for reasons PP mentioned, its a pretty bad test. But that is not to say that GBS can't be a serious thing for a newborn. But the test is just so unreliable b/c of reasons already mentioned. And any infection for a newborn can be quite serious, so whether you tested neg or positive for GBS you need to watch a newborn very carefully for signs of infection.