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I am 36 weeks along and was just tested for group b strep. I won't know the result till my next appt. on Wednesday, but my midwife said that up to 30% of women carry it.<br><br>
She mentioned that should the result be positive, that I would receive antibiotics 'during labor' to prevent transmission to the baby. I have read up a bit and understand that there are serious complications should the baby become infected, so I don't think that I'm too opposed of the antibios.<br><br>
HOWEVER... my question is-- what does 'antibiotics administered during labor mean?' Is that one quick shot in the rear end, or continuous IV which will limit movement?<br><br>
Anyone have experience??
 

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I wouldn't be too concerned. I didn't test postive for it with my first one, and so had no antibiotics to deal with during labor. However, I don't think it would have mattered much, since I was on an IV drip (sugar, sugar...) the whole time anyway.<br><br>
This time, I tested postive at my first visit, urine test, was put on antibiotics, and will most likely be on them during labor/birth. I think (not positive - I'm only 15 weeks, so not that close), all it is is something else on the drip. And yes, the drip limits your mobility somewhat, but mine was on the rolly-thingy that I even took into the bathroom with me, so you've just got that to drag around. Not that big a deal. You're not going to feel much like running up and down the halls anyway, so the IV drip won't really interfere with you too much.<br><br>
All that said, I think you don't need to stress about the test. If you're clear, fine. If not, no biggie either! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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For me, having even a hep lock in was very distracting during labor, let alone having an actual IV. It was one of the (many) reasons I decided to have a homebirth.<br><br>
There is an alternative to the drip - I forget the technical name, it's some kind of "protocol" - basically the midwife/OB swabs your vagina every 2 hours or so with an antibacterial wash, it's supposed to be as effective as the drip, but much less invasive.
 

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I chose not to test because I would not have done the antibiotics if positive. We just watched for warning signs instead.<br><br>
-Angela
 

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Around here, protocol in the hospitals is a dose of ampicillin (typically) every 4 hours from time of arrival until birth. It takes about 20 minutes to run through and then you're mobile again. Not that you couldn't be mobile during those 20 minutes, but you'd have to drag the pole thing with you.<br><br>
Tea tree oil soaked tampons work well in most cases to lower the colonization if you have any concerns about going to the hospital early, but still want to provide some protection for your babe.<br><a href="http://www.gentlebirth.org" target="_blank">www.gentlebirth.org</a> has great archives on GBS treatments.
 

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For my first two, I had a heplock, and was connected to the IV drip for 15 minutes every four hours (only got one dose with baby#2). With #3, I chose not to treat unless I had risk factors (which I didn't), but would have treated with Hibiclens wash instead of IV antibiotics.
 

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I tested neg for GBS but it was wrong. My DD spent 4 weeks in the NICU after she was born because she became infected with it. I would have gladly been strapped down to the bed with an IV if it meant having a chance at a healthy baby. GBS is serious and we almost lost our DD because of it. Good luck!!
 

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Check out this website <a href="http://www.gentlebirth.org/Midwife/gbs.html" target="_blank">http://www.gentlebirth.org/Midwife/gbs.html</a> there is tons of info on GBS there. There are alternative treatments such as the vaginal wash with Hibiclens (Lavage w/Chlorhexidine) if you want to avoid the possible systemic effects of antibiotics on the baby such as thrush/yeast, increased likelihood of allergies, etc.<br><br>
I was GBS+ with my son and did the wash with Hibiclens when labor began and then every 4 hours or so. My water was broken for more than 20 hours and he was 2 weeks "early" and still everything was fine. I think many CNM's and OB's exaggerate the risk (there are some very real and awful things that can happen from GBS but the likelihood is so small and often IMO due to things like internal fetal monitoring).<br><br>
You have to do what you feel comfortable with but I just don't agree with how so often women are told "well you're GBS so you WILL be given antibiotics during labor" as if there are no other options and the woman doesn't get to make her own decision.
 

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I was GBS+ with my second birth and choose to use penicillin. I think penicillin only has to be used once every 6 hours instead of every 4 hours like ampicillin and ampicillin is a broader spectrum antibiotic so it kills off more of the good stuff than penicillin. I was not excited about having an IV at my homebirth after I had managed to get through my hospital birth without one but it turned out to be no big deal. It took only five or ten minutes to get the abx in me (MW would have slowed it down if I was not tolerating it well) then I had a heplock for the rest of the birth. The birth was short enough that I only had the abx once. The heplock was a little annoying when I wanted to be on my hands and knees because I could feel it when I pressed my weight to my hand. By the time I was pushing in the hands and knees posistion I didn't notice it anymore. I have been taking probiotics to recolonize with good bacteria and we haven't had any problems.
 
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