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Group B Strep PREVENTION - Page 2

post #21 of 39
Quote:
Originally Posted by Dandy Lion View Post

Quote:
Originally Posted by Sihaya View Post

Having had to insert progesterone suppositories twice a day for three separate pregnancies, it just seems like another way to take medicine/supplements for me. I also have charted pretty consistently for the past 8 years, which has meant checking my cervix daily unless I was pregnant. Guess it's just a matter of what you're comfortable with.
Honestly, I've never put vinegar or garlic in my vagina before so I don't really know what it's like. I have put it on my face though, and it totally dries it out. It's not an issue of whether or not I'm comfortable touching myself, it's an issue of whether or not I want to risk damaging delicate tissues without a reason to do it.
Sorry, that was not clear at all. I was referring to comfort level as it relates to risk of infection or irritation, not as relates to anyone's personal comfort with their own bodies. I have never used vinegar, but the garlic seemed much less risky to me than other things I had used in the past or since (tampons, lubes, and ph-balancing gels, just to name a few). Like I said, it's a personal decision...
post #22 of 39
Quote:
Originally Posted by Sihaya View Post


Sorry, that was not clear at all. I was referring to comfort level as it relates to risk of infection or irritation, not as relates to anyone's personal comfort with their own bodies. I have never used vinegar, but the garlic seemed much less risky to me than other things I had used in the past or since (tampons, lubes, and ph-balancing gels, just to name a few). Like I said, it's a personal decision...

I understood.  Remember how we all (or at least an overwhelming majority of us) got into this position in the first place?  Remember how we (c/would have) reacted if/when someone told us what we put up there to get pregnant?  :mischief

post #23 of 39

Coming from the perspective of an RN who works in women's health, we advocate avoiding douches, which are mostly vinegar, since they tend to disturb the bacterial balance in the vagina. Garlic I'm not sure about, and I know that some women use yogurt suppositories for yeast issues with ok results. But we tend to see more imbalance when you put things into the vagina than not. My midwife has talked to me about doing a hibiclens douche if I decide to do the GBS test and test positive. Anyone else done this before or had experience with it? We use it in the medical field as a skin prep, it's antibacterial, and used in place of betadine many times. Hopefully I'll be negative and won't need to consider it- I do like the idea of adding in probiotics and ACV to the diet, but I'm not pro- vaginal rinses in general. 

post #24 of 39

I don't plan to do any douches but seeing the food list is helpful to me. I tested positive with my 3rd pregnancy (didn't test with #1 or #2) and am allergic to penicillin, so it would really simplify things to just test negative. I think I had a low grade yeast infection for most of my 3rd pregnancy and that might not have helped. I'm taking probiotics this time around, too. 

post #25 of 39

Interesting little fact that I read is that GBS migrates to the vaginal outlet from the colon. Thus not wiping properly and vaginal exams can transfer it. 

 

Just an interesting little fact I read in Henci Goer's The Thinking Woman's Guide to a Better Birth

post #26 of 39

I'm not really willing to do any washes, I don't particularly like messing around with the fragile chemistry down there because bad things usually happen when I do. But I do need another good reason to drink more kombucha, and I've been meaning to start taking braggs ACV everyday to help with heartburn anyways, plus I eat greek yogurt on the reg. So really, this just reinforces my nutrition habits! Thanks for the info, it's good info!

post #27 of 39
I do an external hibiclens wash the morning of the test. It's totally cheating but I want to be sure I get a negative test. The test is totally invalid regarding what your actual status will be on the day you give birth. My oldest is also severely allergic to penicillin so there is no way I'm going to expose my unborn baby to it. I've tested negative every time so far. I would not consent to hibiclens douches during labor either because it is so important for the baby to be exposed to your natural bacterial flora in order to establish a healthy gut flora. Sterilizing the birth canal would be really detrimental.
post #28 of 39

My first 3 pregnancies I never even got tested.  I had done the research and knew that even if it was positive, that I would refuse antibiotics. My last pregnancy I was ....  highly encouraged......to test because she was a new practice and wan't to cya in case of transfer.  I very begrudgingly did the test myself in my own bathroom.  It was shockingly positive.  Even after doing her prevention protocal of lots of garlic, probiotics, vitamin c, (all orally) etc.  I REFUSE to test trick.  That could be dangerous if the baby is born sick and they think you were gbs - and don't properly treat the baby.  But anyway, since my one test was positive, it's highly possible I was positive with all of my babies.  None of them were sick.  We didn't do anything special in birth.  We didn't treat them because they weren't sick, I did NOT do antibiotics in labor.  And in fact, my midwife that pushed me to test, even told me that your water breaking, essentially does the exact same thing as a hibicleanse in that it "washes" the birth canal.  Except your water breaking is more natural and no negative consequences of messing with the good flora too.  At my 2 week follow up, she apologized for pushing me to test in the first place and said that she caused stress on me and our relationship by pretty much making me doing even though I already knew how I felt about it and how I would handle the situation regardless of the outcome of the test.  That she's having second thoughts about how she will handle this testing in future and that she was sorry to have put me in that position.  

 

Even though she really pushed for it last time, she presented the options of "treatment" and then respected my decision to not treat at all.  Just because you are gbs +, doesn't mean the baby WILL be sick.  It's a VERY small percentage that do.  And those that do usually respond better to antibiotics after birth and less antibiotic resistence than those that received treatment during labor.

post #29 of 39

This is really, truly, the one thing I'm scared about for the birth process. Only because I had a close friend have her baby pass away from GBS at 3 days old (which I know is ridiculously rare....so I definitely don't want to scare anyone in this forum!).  But I guess just because it's hit so close to home in the recent past, it terrifies me a little bit more than it should. 

 

I'll do a reasonable amount to prevent, I think. Boost my probiotics, boost my vitamin C, drink tons of water, etc. But I don't think I could emotionally handle refusing antibiotics if I am positive. 

post #30 of 39

What I think is interesting is the fact that they're now finding evidence that group B strep can make it's way to the baby before birth, and also the fact that they're finding gut bacteria in the umbilical cord now. @needfire and @jessdiamonds, since we're kinda on the same page as far as vaginal cleansing goes, I was wondering what you guys thought of probiotic capsules in the vagina during the third trimester. My toddler has GAPS, so making sure I'm doing everything I can to improve this baby's chance of developing good gut flora is important to me.

post #31 of 39

I've read about the new thought on the microbiome at birth, and that we aren't born sterile- totally makes sense. Also makes sense that pathologic bacteria can make their way into the womb environment, although I thought the mucus plug was there to prevent that. I suppose it can still get through. Haven't heard about doing probiotics into the vagina, but I'm definitely making sure to eat lots of probiotic foods (loving just plain kefir right now, my husband thinks I'm insane! :P) and I'm taking probiotic tabs orally too. Hadn't heard of GAPS before, but I've read plenty of new research out there about a strong case for the connection between abnormal gut flora being implicated in psychological and neurological issues with kids. Very interesting area of research right now! 

post #32 of 39

@Dandy Lion I have used probiotics vaginally before and it was a very unpleasant experience for me, as it still caused infection. The only thing I have ever successfully used vaginally is boric acid capsules, and I only did that for recurrent bacterial vaginosis. So, I think, for me, I'm going to go the oral probiotic way and hope for the best. I have not actually known anyone who has had babies who has tested positive for GBS, even though I hear it is very common. I'm just going to try not to worry about it right now if there isn't really much I can do.

 

@HopefullyMama I do not think that I will be able to refuse antibiotics, either. I'm not very good at saying no to my healthcare professionals and I trust my midwife to do what she thinks is best. that's why I picked her. She doesn't do excessive testing, I never ever have to have my urine checked for anything, doesn't care about my weight, gave me a choice on getting the Rhogam shot. I just feel like if I can't trust her, who can I trust? I'm not a doctor and I haven't done enough research to feel comfortable turning down medications like that.

post #33 of 39
Quote:
Originally Posted by Dandy Lion View Post
 

What I think is interesting is the fact that they're now finding evidence that group B strep can make it's way to the baby before birth, and also the fact that they're finding gut bacteria in the umbilical cord now. @needfire and @jessdiamonds, since we're kinda on the same page as far as vaginal cleansing goes, I was wondering what you guys thought of probiotic capsules in the vagina during the third trimester. My toddler has GAPS, so making sure I'm doing everything I can to improve this baby's chance of developing good gut flora is important to me.

I don't put a whole capsule up there.  I just sprinkle some on the "opening.  (Usually it ends up being half a capsule or less and there is some lost along the way.  I think a whole one would be too much.  Whatever needs to get up there seems to.  I have done this for "discomfort" without other symptoms as a way to nip things in the bud and when there was no clear bacteria/fungal/what-have-you distinction (which is more common for me than a clear-cut sign of any one thing).  It's kind of a "reset" button for me.  I may have done this once while pregnant, but can't remember off the top of my head.  
At least with this method it's easier to rinse off or do another application as needed.  I think I usually would do it before bed unless I didn't want it to get that far out of hand and felt it might.  (I tend to be a bit lazy about such things saying, "Oh, right.  I'll take care of that in a little bit."  Then, a "little bit" is hours or days later.)

post #34 of 39

Good info ladies. Perhaps I'll just sprinkle a bit in my panties before bed...

post #35 of 39
Quote:
Originally Posted by Dandy Lion View Post
 

What I think is interesting is the fact that they're now finding evidence that group B strep can make it's way to the baby before birth, and also the fact that they're finding gut bacteria in the umbilical cord now. @needfire and @jessdiamonds, since we're kinda on the same page as far as vaginal cleansing goes, I was wondering what you guys thought of probiotic capsules in the vagina during the third trimester. My toddler has GAPS, so making sure I'm doing everything I can to improve this baby's chance of developing good gut flora is important to me.

 

I know of two babies that were born full term, in the cull (water didn't break), that was very ill with GBS.  Absolutely babies can get it from in the womb and not just the bacteria in the vagina at birth.  But it was like 1 in a 1000 births that she had attended.  Still, another reason I don't do antibiotics and will wait until my babe is born and THEN if they are sick, we'll treat.

post #36 of 39
Erg-so I have something going on-waiting for the cultures to come back to see what's up, but I just started tea tree suppositories to help clear it up. I now remember doing this to help with the test after the first positive on my last pregnancy. Not sure if good preventative measure, but may be worth talking about with your midwives/alternative-ish drs:)
post #37 of 39

Does anyone know if taking antibiotics during pregnancy (for other infections) has any affect on later GBS status? I took antibiotics at around 22-23 weeks with my first pregnancy, and was negative later on for GBS, and now at 25 weeks I'm on antibiotics for a UTI. It made me wonder whether there's any effect.

post #38 of 39
Quote:
Originally Posted by ecnarwold View Post
 

Does anyone know if taking antibiotics during pregnancy (for other infections) has any affect on later GBS status? I took antibiotics at around 22-23 weeks with my first pregnancy, and was negative later on for GBS, and now at 25 weeks I'm on antibiotics for a UTI. It made me wonder whether there's any effect.

Antibiotics will kill all bacteria in the body that they will kill.  Different types of antibiotics are used based on their effect on different types of bacteria, however, it is recommended you take a probiotic afterward to refresh the "good" gut bacteria that were also killed.  
So . . . it depends.  Yes, there may be an effect, but it's a bit more complicated than that.  

post #39 of 39
Thread Starter 
Quote:
Originally Posted by Michelle Murphy View Post
 

Antibiotics will kill all bacteria in the body that they will kill.  Different types of antibiotics are used based on their effect on different types of bacteria, however, it is recommended you take a probiotic afterward to refresh the "good" gut bacteria that were also killed.  
So . . . it depends.  Yes, there may be an effect, but it's a bit more complicated than that.  

In addition, yes it can kill some of the Group B but it is likely it will come back. That is why they changed the standards to Group B during labor.

 

Quote:
First, researchers tried giving penicillin to women before labor, but this didn’t work. Although penicillin temporarily lowered GBS levels, by the time women went into labor the GBS levels were back up again (Gardner et al. 1979).
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