GBS+ at 26 wks=abx at delivery - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 11 Old 05-31-2012, 10:07 AM - Thread Starter
 
pammysue's Avatar
 
Join Date: Jan 2004
Location: Mountains of S. California
Posts: 1,450
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
So, sunday I had a little scare and went into L&D. It turned out to be nothing, but they took a urine culture of course. The dr called to tell me that I am GBS positive and call in a rx for me. She also told me that this automatically means abx at delivery. I asked "evven though its so far out?" She said yes if you test positive for GBS at anytime during the pregnancy you have to have abx at delivery.

Does this sound right?

Also any advice for right now amd while I am on the abx?

PS-I am delivering at the local baby factory and having prenatals at their clinic, not by choice.

Pamstillheart.gif Cliffguitar.gif Malachi 5/08 bouncy.gif   Judah 5/10 jog.gif  Eden 8/12 babygirl.gif Asher 8/12 babyboy.gif

 
 You can't get a cup of tea big enough or a book long enough to suit me. ~CS Lewis

pammysue is offline  
#2 of 11 Old 05-31-2012, 10:26 AM
 
LilyTiger's Avatar
 
Join Date: Dec 2011
Location: Upstate NY
Posts: 1,969
Mentioned: 23 Post(s)
Tagged: 0 Thread(s)
Quoted: 36 Post(s)

My understanding is that they don't test until 36 weeks precisely because your status can change.  I would demand a retest as your due date gets closer.  Remember, it's your body and your birth.


Beautiful baby girl born 8/13/2012. Little star baby lost at 10 weeks pregnant, 12/18/2013. Currently due 12/13/2014 with a rainbow.
LilyTiger is online now  
#3 of 11 Old 05-31-2012, 10:44 AM
 
onlyboys's Avatar
 
Join Date: Feb 2004
Location: FL
Posts: 3,578
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

A positive urine test denotes a high level of colonization with GBS.  In this case, most practitioners will, indeed, automatically treat.  They will likely not test you again at 36 weeks.  This is standard of care where I am.  Hope this helps you.

onlyboys is offline  
#4 of 11 Old 05-31-2012, 05:03 PM - Thread Starter
 
pammysue's Avatar
 
Join Date: Jan 2004
Location: Mountains of S. California
Posts: 1,450
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

So, this may be a stupid question, but how long does it take to get the antibiotics through the IV? Is it just a shot through the IV or a drip-type bag? Also, if I deliver quickly after taking the antibiotics do they have time to work before the baby comes through the vagina? I'm confused.


Pamstillheart.gif Cliffguitar.gif Malachi 5/08 bouncy.gif   Judah 5/10 jog.gif  Eden 8/12 babygirl.gif Asher 8/12 babyboy.gif

 
 You can't get a cup of tea big enough or a book long enough to suit me. ~CS Lewis

pammysue is offline  
#5 of 11 Old 05-31-2012, 06:28 PM
 
calapitters's Avatar
 
Join Date: Aug 2010
Location: Vermont
Posts: 192
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I've done a bunch of research on alternatives to antibiotics for GBS during labor. I would be happy to PM everything to you (it's long).  There ARE reliable alternatives to antibiotics, they are just not well known in the US.  The most successfully researched is a a vaginal area rinse with Hibiclens (chlorohexidine solution used to kill bacteria in a surgical setting).  

 

To answer your question about the IV, it's a drip type of bag, but you can usually get a hep lock, which will allow you to remove the bag when you don't need it.  One dose takes about 4 hours to deliver, I believe, but don't quote me on that.  GBS comes and goes in the body in waves.  It takes about six weeks for a colony to really establish itself, so you may test differently at different times of your pregnancy.  Ask to be retested between 35-37 weeks.  


Mama of 4 beautiful little ones

 

Unless someone like you cares a whole awful lot, nothing is going to get better, it's not.

                                                                                                                       --Dr. Suess    

calapitters is offline  
#6 of 11 Old 05-31-2012, 06:36 PM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 931
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
GBS in the urine is considered indicative of a heavier colonization and would typically be reason to do antibiotics during labor (for most hospital-based providers). The antibiotics take about 30 minutes to infuse and are given every 4 hours, assuming that you are not allergic to penicillin, which is the usual antibiotic given. They are given in combination with saline and the IV can be disconnected from the saline lock when you are not receiving the antibiotics. They will want you to have at least 2 doses, which are given 4 hours apart for you to be considered "covered" for purposes of GBS treatment.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#7 of 11 Old 06-02-2012, 05:32 AM
 
onlyboys's Avatar
 
Join Date: Feb 2004
Location: FL
Posts: 3,578
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Yes to the above.  It doesn't take anywhere near 4 hours to infuse.  Typically, it takes about 30 minutes.  During that time, we try to make the mother as comfortable as possible in terms of position.  We like her to stay as mobile as possible, if she desires that.  I've even carried the bag of infusing antibiotics around like a movable IV pole.  :)

onlyboys is offline  
#8 of 11 Old 06-02-2012, 08:42 AM
 
MichelleZB's Avatar
 
Join Date: Nov 2011
Location: Ontario, Canada
Posts: 1,015
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 23 Post(s)

Pammysue, this sucks. I was GBS+ too, and then my water broke before going into labour, so I had to go to the hospital and they started antibiotics before I'd even started contractions. BLECH. I hated it, I did.

 

But I wanted to post some encouragement: it'll be fine! Although the antibiotics sucked, I was still okay, and I managed to have a fairly unmedicated vaginal delivery anyway (I did do some laughing gas during transition but that's all) and the baby was put on my chest and breastfed and all was well. You'll be fine!

MichelleZB is offline  
#9 of 11 Old 06-02-2012, 01:36 PM
 
AmandaMamma's Avatar
 
Join Date: Apr 2012
Posts: 49
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I think the amount of time for the drugs is dependent on the hospital. The hospital I'll be delivering at just recently changed their policy to having the antibiotics within the hour of birth and they call it good.
AmandaMamma is offline  
#10 of 11 Old 06-02-2012, 06:00 PM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 931
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
This document from the CDC details the reason for their recommendation of 2 doses of antibiotics (>4 hours of antibiotic treatment) here: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5910a1.htm?s_cid=rr5910a1_w.

Under Prevention of Early-Onset Group B Streptococcal Disease: "Although the exact duration of antibiotics needed to prevent vertical transmission of GBS has been debated (84,85), beta-lactam antibiotics for GBS prophylaxis administered for ≥4 hours before delivery have been found to be highly effective at preventing vertical transmission of GBS (86) and early-onset GBS disease (68). Shorter durations of appropriate antibiotics might provide some protection; in particular, colonization data suggest durations of ≥2 hours before delivery might confer some protection (86)."

The whole paper is fairly interesting actually. There is a section entitled "Identification of Candidates for Intrapartum Antibiotic Prophylaxis" with a subheading of "Bacteriuria", which is particularly of interest in the OP's case.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#11 of 11 Old 06-02-2012, 11:55 PM
 
Plummeting's Avatar
 
Join Date: Dec 2004
Posts: 6,009
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

There has been a study showing that maximum antibiotic levels are reached in the fetus only ONE hour after they're given, and the levels fall every hour after that, so four hours really isn't necessary. You should be able to find the study if you look for it. I think I may have even linked to it before in some other thread, but I'm not sure. :)

Plummeting is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off