There's a reason other countries aren't worried about this... the US protocol doesn't improve outcomes overall.
-Angela
-Angela
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I wish I could feel as confident as lisabeeprague. I am trying to find peace in not using antibiotics, but why am I so scared too? I flip flop every day. My husband wants me to get the antibiotics. I've done so much research and know the risks of getting antibiotics too, but I'm so freaked out too by the chance of baby getting infected with GBS.
It's terrible that I think in my head...they treat women who have not been tested as positive in the states for a reason - it must be necessary.
I wish I could find the hipclens thing too. Maybe that might make me feel better about skipping the antibiotics. I'm so freaked out by introducing germs and bacteria now that I'm almost there and probably dilating a little I won't even have sex with my husband. Am I the only one that feels that way about sex in the 9th month? I feel like pregnancy has kind of turned me into a hypochondriac.
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It's terrible that I think in my head...they treat women who have not been tested as positive in the states for a reason - it must be necessary.
I wish I could find the hipclens thing too. Maybe that might make me feel better about skipping the antibiotics. I'm so freaked out by introducing germs and bacteria now that I'm almost there and probably dilating a little I won't even have sex with my husband. Am I the only one that feels that way about sex in the 9th month? I feel like pregnancy has kind of turned me into a hypochondriac.
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Remember that MOST OB policies in the US are NOT evidence based.
There's a reason that so many countries that have lower infant and maternal mortality and morbidity rates don't test at all....
-Angela
Originally Posted by minneapplegirl  It's terrible that I think in my head...they treat women who have not been tested as positive in the states for a reason - it must be necessary. |
There's a reason that so many countries that have lower infant and maternal mortality and morbidity rates don't test at all....
-Angela
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and that deserves a second
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Honestly, the fact that it's routine in the US would only make me question it & doubt the efficacy of it MORE!
But if you do want to lower the risks of infection more, without IV ABTs, then keep vaginal exams to a bare minimum, do NOT allow them to break your water (even when it's time to push! Babies can be born in their bag of waters).
Even knowing I were positive, I would only consent to ABTs if I ALSO developed another risk factor!:
1. Maternal fever in labor
2. gestation less than 37 weeks
3. PROM more than about 18 hours before birth
4. UTI with GBS
5. Previous baby with GBS]
That's how they manage it in the UK - you have to have TWO risk factors for IV ABTs, and GBS+ swab is only one risk factor. Although I can also tell you that in Japan, there is no set standard - the protocol varies by hospital.
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I know this because I deliberately set out to find out how they manage GBS in other countries because maternity care in the US is so bad! Ha! It was DH's idea when I got such conflicting advice on it.
& yes, I'm fairly certain that penicillin is the most effective against the GBS. Although for Moms with a penicillin allergy, other ABTs are given - so I don't think they're worthless! Just not quite as effective as penicillin.
Originally Posted by alegna Remember that MOST OB policies in the US are NOT evidence based. |
and that deserves a second
Honestly, the fact that it's routine in the US would only make me question it & doubt the efficacy of it MORE!
But if you do want to lower the risks of infection more, without IV ABTs, then keep vaginal exams to a bare minimum, do NOT allow them to break your water (even when it's time to push! Babies can be born in their bag of waters).
Even knowing I were positive, I would only consent to ABTs if I ALSO developed another risk factor!:
1. Maternal fever in labor
2. gestation less than 37 weeks
3. PROM more than about 18 hours before birth
4. UTI with GBS
5. Previous baby with GBS]
That's how they manage it in the UK - you have to have TWO risk factors for IV ABTs, and GBS+ swab is only one risk factor. Although I can also tell you that in Japan, there is no set standard - the protocol varies by hospital.
& yes, I'm fairly certain that penicillin is the most effective against the GBS. Although for Moms with a penicillin allergy, other ABTs are given - so I don't think they're worthless! Just not quite as effective as penicillin.
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