So this morning at my 36 week "make a birth plan" midwife appointment I was informed I tested positive for Group B Strep. This really throws a wrench in the no IV portion of my birth plan and going to the birthing center as late as possible in labor.
After a long discussion with my midwife (who will support me if I decide or don't decide to take antibiotics) the issue basically boils down (for me) to newborn care. If I get in the two doses of antibiotics (4 hours apart) via IV before baby is born then there is no need for special baby monitoring. If I only get one dose in then it depends on the in house pediatrician. If there are no doses given then there is a hospital policy to do an arm blood draw for the baby at 6 hours old and a stay for at least 48 hours with no possibility of rooming in with baby.
So my game plan is to go to the birthing center when I'm sure labor has started but sooner then I'd go otherwise and have then give me the first dose while they do the 20 min of baseline monitoring.
Given that I'm needle phobic to the extreme the two possibilities I'm playing with are:
1.) Get a hep-lock (midwife prefers this) and keep it in while I labor. Pro, the only needle jab is to get it set up. Con, there will be a needle stuck in my arm while I labor ... I feel faint just thinking about it.
2.) Get the antibiotics but have them remove everything after the first dose. When it is time to do subsequent doses have them re-insert the needle each time. Pro, no constant needle which I know will throw all my relaxation techniques out the door. Con, nurses probably won't like the extra work and more needle jabs.
So I guess I'm looking for a what would you do? And if you had a hep lock during labor before, how was it?
Thanks in advance,
RedTree - mostly still freaking out