No way do I want the eye goop, no thanks. We declined it last time and will be doing the same this time. I don't want some prophylactic antibiotic mess on my newborn child's eyes just because men have established a reputation for introducing gonorrhea and syphilis and chlamydia to their pregnant partners via clandestine relationships, and now we have this procedure because of it. We've had our STD testing. We have a monogamous relationship. I'd like my little one to see us as best he can with his already foggy newborn eyesight. I don't want him to have that feeling of goop in his eyes, and I don't want antibiotics be one of his first out-of-the-womb bodily experiences.
The incidence of opthalmia neonatorum (aka infection during birth or shortly after -- correct me if I'm wrong here, Jane) in North America is 0.3/1000. For us -- a couple of homebody dykes -- I know that our babe is not at risk. As for transmission of infection post-birth, if we end up in hospital again with a full term baby who is allowed to stay with us until we leave, the chances of another health care worker passing on an infection to him is very small. I would reconsider the goop if we have a baby in the NICU.
Last time, though, we were at the hospital for less than 24 hours last time, and baby was with us the entire time after she was resuscitated.
We also declined the vit k last time, but after a traumatic delivery, we opted for it in the end because baby's don't produce it themselves it until about day eight.
And (because we were risked out of our hospital birth) we also declined the standard-issue newborn bath that they like to do on infants, for some reason. No thanks to that too ... I'll be the one to bathe my child when and how I see fit. Keep your hands and your soap off my baby!
I have done the GTT both times, and passed. I'd want to know if I had gestational diabetes.
I do get the GBS screen too, because GBS can cause blood infections and meningitis and pneumonia in newborns, and I don't mind taking on anitbiotics to avoid that. Last time I was GBS positive, much to my dismay. The IV wasn't horrible, but it wasn't pleasant to labour with. Especially in the tub. I jacked up my probiotics, ate tonnes of yogurt, and managed to avoid the yeasty beastie.
From one of our hospitals here:
Refusal of Prophylactic Treatment
• Mother (or parents) must sign a written statement of declination, stating that she (they) understand the
benefits and risks of the treatment as explained by the midwife (2).
• Benefits to Treatment
o Decreases incidence of ON and complications of ON
o Protects infant when CT and GC screening tests in pregnancy are falsely negative
o Protects infant when CT and GC or other infections are asymptomatic
o Protects infant when maternal CT and GC status is unknown
o Protects infant when if fidelity/sexual health of client or her partner are at question or not certain
o In areas where bacterial opthalmia is prevalent, routine prophylaxis may be useful
• Risks to Treat:
o May cause inflammation, redness, and swelling of eye area
o May negatively affect bonding between infants and parents due to possible inhibition of visual
functioning and decreased eye openness