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Discussion Starter · #1 ·
Hi all,<br>
My name is Jodi - I'm 29 and am planning a homebirth with MW's for my first baby due around Aug 1....<br><br>
My MW's legally have to offer GBS testing- and so If I want it done, It would need to be done in about a month.<br><br>
This is my dilemma:<br>
*If I get the testing and it's positive - they will allow me to seek treatment and then they will re-test closer to my EDD<br>
*But they can't prescribe antibiotics or anything else in our state - so I'd either have to do herbal remedies or try to beg my very mainstream family doctor for antibiotics - which I don't seem him doing....<br>
*AND if I'm still positive at my 2nd test - the MW's will not do a homebirth...<br>
*My DH wants me to be tested to know if I need to be treated or not.<br>
*I think that even if I'm tested - I may not be the same status at the time of delivery.<br>
*So I'm thinking that maybe not testing would be best - and just proactively treating with probiotics before labor and Hibiclens once labor starts....<br><br>
*****Are there any other options or things I need to consider? We do live about 30 minutes from the hospital -so I'm trying to avoid a transfer if I can, and also trying to avoid having to take my baby in to the hospital for treatment of any kind.....<br><br>
Thanks!<br>
-Jodi
 

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I declined testing with my new mw.<br><br>
The mw I used for my 3 other hb's never mentioned it.<br><br>
I figure if I have done 3 hb's just fine I sure dont need it for my 4th.<br><br>
Besides I really dont feel the test is accurate and I feel it puts way to much stress on the mom.
 

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I would definitely decline the test. Way too much stress and no real benefit, imo. I had the test with my dd and it was positive. I was then suppoed to have an antibiotic iv during labor, but my labor ended up progressing really fast and there was no time for it. My dd was (and is) totally fine.
 

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Normally I'm a proponent of GBS testing because it's non-invasive and can really help in the unlikely event of a transport... in your case if I were you I would skip it. I don't even necessarily think you need to prophylactically treat.<br><br>
What you will need to consider in the event of a transport is that the hospital will be VERY displeased about not having GBS test results in your chart. If you transport for a baby reason they're most likely going to flip out at you and your midwife and want to go all nutty assuming the baby is septic. They may push hard for a spinal tap and a NICU admission. If you transport in labor they will run abx without even asking you so be alert for small bags being hung on your IV pole.<br><br>
That last paragraph sounds scary, I don't mean it to, just my experience.
 

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FWIW in my area the progressive hospitals do no routine antibiotics during labor. IF a woman has tested positive for GBS, they *offer* antibiotics during labor (and, yes, the woman can decline with no repercussions.) They refuse to offer antibiotics during labor to any woman w/o a +GBS test, even if she was never tested. GBS complications are rare and complications from prophylactic antibiotics are not.<br><br>
*IF* you MWs will attend you at home w/o a GBS, IMO you have everything to lose and nothing to gain by taking it.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>jodib</strong> <a href="/community/forum/post/8166486"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">...so I'm trying to avoid a transfer if I can, and also trying to avoid having to take my baby in to the hospital for treatment of any kind.....</div>
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Good call. Many years ago when I was researching GBS there were a few studies that showed babies catching GBS from the hospital. Hospitals are not healthy places for anyone, let alone a newborn.<br><br>
~BV
 

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normally id recommend having the test~ in my case ive got nothing to loose...my mw can give antibiotics IF i want them and if im pos, i can be sure to use hibiclens, etc. If i transfer to the hospital without a test, they will assume im pos and treat baby and i as such <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
in your case, however id say dont take it...like a pp said, youve got everything to loose if its pos. id rather risk being treated IF i transfer, vs. risking to loose out on a hb because i was pos. ya know?
 

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The problem is not so much the accuracy, but the fact that GBS status changes frequently. Just because you were GBS+ last week, doesn't mean you are this week.<br><br>
-Angela
 

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According to the midwives who just answered a q about this on the Birth Professionals subforum, risks of babies getting GBS from a GBS+ mom are mostly for preemies and a mom who has had membranes ruptured for a long time, +18h I believe. There's a UC remedy for if you're really concerned about it, something about a hibiclens rinse during labor, check that subforum.<br><br>
I'm not having the GBS test.
 

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Discussion Starter · #12 ·
Thanks everyone.<br><br><br>
I think that it does make sense to not be tested in my situation - now I just have to try to convince DH of all the stuff I know (and all you mentioned). I just wish VA had a better arrangement for MW's doing HB's.... They can't legally do ANYTHING, except catch babies.... .luckily mine will still bring oxygen and methegrin just in case.... but also against the law....<br><br>
-Jodi
 

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Hey Jodi, my mom had her 3rd and 4th children while we were living in VA, and with the 3rd she had him at home but for #4 we had to go to the hospital because of the whole MW legality thing, it was silly. Anyways, I would call the doctor's office and find out if they'd prescribe oral or IV antibiotics for you before deciding to do the test, if you're truly concerned about the baby possibly catching GBS disease. That way you'll know if your assumption about having to beg your doctor for abx is true. However, since GBS status would risk you out of your homebirth, I wouldn't test.
 
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