I have the group B strep issue on my mind this week. I finally read my midwife's long handout on it that she e-mailed to me a while ago. You can opt out of the test or if you test positive you can opt out of anything you want. That said, if you test positive and you want antibiotics, you need to have a hospital birth! I never considered this! I was negative last time, but I do know my last midwife did the antibiotics at the birth center, if need be. And I know that your status can change every couple weeks even!
I have some friends who had a baby and my friend was positive and for some reason she did non get the antibiotics. I don't know details - it wasn't something she declined. I think more like she had no clue and either they doc didn't know her status or messed up by not giving it. Anyway, baby got it and nearly died. Spent 2 weeks in the NICU. I know the odds of transmission are supposedly low even if you are positive, but the odds of your baby dying if they get it are 6% - which is too high for me to feel ok about.
I think I'm extra concerned bc at my last 3 visits my pee has been cloudy or there have been leukocytes (white blood cells). My midwife hasn't really been concerned bc there is no other indication of infection in my urine. I've been taking measures to treat a UTI, even though I don't feel like I have one (d-mannose, cranactin, probiotics and vitamin C). I'm just concerned that maybe by not treating a UTI or whatever with antibiotics, I could be setting myself up to end up GBS+. I'm really worried about potentially losing my homebirth over this!
I know my midwife offers hibiclens treatment instead of antiobiotics as an option. And she did say she would consider possibly doing an IV for me if need be (so happy to hear that!). She did say you have to have the antibiotics at least 2 hours before you deliver and it's very possible we wouldn't even have time (7.5 hour labor with my first so who knows what it will be this time).
Sorry to ramble. I'm probably worrying myself over nothing. Hopefully I'll just turn out to be negative. But I would love to hear others' thoughts - whether you feel ok declining to go to the hospital for antibiotics and why or if you are even going to do the test, etc. Do most homebirth midwives not do the abx?