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Discussion Starter · #1 ·
My questions are about water breaking and antibiotic use. My friend's water broke about 10 hours ago, and her contractions are extremely weak -- almost non-existant. She is now at her birth center, where the midwife is willing to wait 24 hours before sending her to the hospital. But, she is telling her that she <i>must</i> take antibiotics (oral) to prevent a possible infection in the baby. My friend's questions are:<br><br>
1. Is it absolutely necessary to take the antibiotics?<br>
2. Will the baby be negatively affected by the antibiotics?<br><br>
ALso, my friend wants to walk, but the midwife said she shouldn't walk, because it could cause more water/amniotic fluid to come out. Is this true as well? My friend is bummed because she really wants to walk.<br><br>
This is her first pregnancy. Thanks in advance for the help!
 

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Abx are not absolutley necessary at all. The biggest risk factor to developing an infection is having vaginal exams. Your chance of an infection is very very very small until 24 hours after the first vaginal exam.<br><br>
I also think walking would be fine. So what if more fluid comes out? Just keep drinking plenty of water and do whatever feels best. Tell your friend to do what SHE wants to, not what the midwives say. It's her body and she knows what feels best!<br><br>
IMO, there's no justification for transferring her out of the BC just because labor hasn't kicked in. Because if she goes to a hospital, they're likely to pull out the big guns and start a cascade of interventions, when if she'd simply wait (and most women go into labor within 48 hrs of their water breaking) her body would do it just fine on its own.<br><br>
In many other countries, it's normal to wait at least 72 hours after the water breaks before considering starting any interventions.
 

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Is she GBS+? could that be the midwife's reason for the abx? other than that, I can think of no good reason for abx. It may sabotage her nursing relationship (thrush)...
 

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the GBS status is a good question. Unless this is a ridiculously conservative midwife, that would be the big reason that I can think of that they'd recommend it. Not that I'd necessarily say that it would be a good reason STILL for her to take the ABX.<br><br>
Walking should be absolutely FINE. Especially when she is drinking plenty of water (they should have straws at the BC!) after every contraction.<br><br>
THOUGH. I'd really say that she should go HOME, and sleep, were she anywhere near home. If not, lie down, if she can, at the BC, and get what sleep she can. When her labor picks up she'll need the energy she can save now by snoozing while she can, until the ctx are painful enough that she can NOT lie down any more.<br><br>
The PP is correct. Vaginal Exams are HIGH on the list of things that 'll cause infection. I'd stay as far away from them as she possibly can.
 

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Discussion Starter · #5 ·
Thank you for the answers. I will call her right away with the info.<br><br>
One complicating factor is that we are in Japan (I am Canadian and my friend is American though). The "rules" are different here, and people hate to break them.
 

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Discussion Starter · #6 ·
Well, I just called my friend, and her DH is at the pharmacy now, buying the antibiotics. Apparently the birth center is insisting that she take them. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">: She is not GBS positive.<br><br>
My own baby is due in less than two weeks. This has reinforced my resolve to stay at home as long as possible. I won't be going to my birth center just because my water breaks.<br><br>
Thanks everyone.
 

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<div>Originally Posted by <strong>wagamama</strong> <a href="/community/forum/post/9906898"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Well, I just called my friend, and her DH is at the pharmacy now, buying the antibiotics. Apparently the birth center is insisting that she take them. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">: She is not GBS positive.<br><br>
My own baby is due in less than two weeks. This has reinforced my resolve to stay at home as long as possible. I won't be going to my birth center just because my water breaks.<br><br>
Thanks everyone.</div>
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I'd get a bottle of adult and infant probiotics for her for after her labor is over. Abx caused me and my dc so many problems after her birth. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">:
 

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Discussion Starter · #8 ·
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<div>Originally Posted by <strong>Chinese Pistache</strong> <a href="/community/forum/post/9907944"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I'd get a bottle of adult and infant probiotics for her for after her labor is over. Abx caused me and my dc so many problems after her birth. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">:</div>
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Good idea. So even one oral dose of abx can cause a lot of problems?
 

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That is all absurd. I didn't even go to the hospital for 15 hours after my water broke. At 24 I accepted Pit for an hour, she was born after 27.5, and I never had abx and spent almost no time in bed. If my water had broken with my UC baby prematurely I'd have felt comfortable waiting indefinitely as long as there were no signs of infection. I do NOT take preventive antibiotics. The baby can be negatively affected, not to mention how humanity at large is affected by rampant, indiscriminate use of antibiotics.
 

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Discussion Starter · #11 ·
<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>SublimeBirthGirl</strong> <a href="/community/forum/post/9911280"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">That is all absurd. I didn't even go to the hospital for 15 hours after my water broke. At 24 I accepted Pit for an hour, she was born after 27.5, and I never had abx and spent almost no time in bed. If my water had broken with my UC baby prematurely I'd have felt comfortable waiting indefinitely as long as there were no signs of infection. I do NOT take preventive antibiotics. The baby can be negatively affected, not to mention how humanity at large is affected by rampant, indiscriminate use of antibiotics.</div>
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Sadly, abx are still very much overused in Japan.<br><br>
I am now feeling scared about my own immanent labor. I am thinking that if my water breaks early, I will just stay at home until the contractions get strong.
 

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I'm sure she had the baby by now but.... antibiotics=not necessary, and walking=ok. I walked for HOURS with my water broken (with rest and water breaks) trying to get things going.
 

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I'm assuming she's already had those dratted vaginal exams. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Honestly, if it were me and I had a vaginal exam in the hospital after my waters had broken, I'd be thinking seriously about antibiotics too. Normally, though, unless you already have a serious infection and as long as you don't put anything up there, there is virtually no risk of infection because the waters are flowing down and out -- the bacteria isn't going to travel against the flow. And the idea that she shouldn't be walking because fluid will excape is absolutely ridiculous. I'm shocked that a medical professional doesn't know that the body will constantly replenish the uterine fluid as long as the mother stays hydrated. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shake.gif" style="border:0px solid;" title="shake">
 

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my water broke 36 hours before I went into active labor. I waited on the exam and went back home. checking in with the midwife regularly. I ended up at the hospital, but no antibiotics. I hope all is well with your friend. that is terrible that they wont let her walk. I went on a long walk at about 4 in the morning 2 hours later active labor kicked in.
 
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