Jump to content

Group B Strep +ve
How much intervention for neonate?


9 replies to this topic

#1 runnybabbit

Posted 25 November 2012 - 11:10 PM

I'm a little bit frustrated. I'm 34 weeks pregnant with my second baby, and since my first trimester I have been going to the local Birth Centre, linked to the local public hospital, as a public patient.

From my very first appointment I informed that that I swabbed positive for Group B Strep in my first pregnancy. With my first baby, it was about six hours after spontaneous ROM (no prior contractions) till we got to the hospital (37w2d, we were down south on our last romantic getaway). So there was no time for me to receive IV antibiotics, as was the plan. When my baby was born, he was swabbed and I think ear and nasopharyngeal swabs came back positive for Group B Strep. He had systemic antibiotics shortly after birth and then a course of oral antibiotics. So his swabs were positive but he never displayed clinical symptoms (obviously because of the prompt administration of antibiotics).

So this week, at 33++ weeks pregnant, my midwife informs me that she was talking to another midwife and that second midwife says that Group B Strep positive women are actually to be excluded from the Birth Centre as the hospital's policy is that the baby receives antibiotics within 30 minutes of birth. Previously the plan was that I would receive IV antibiotics in labour and as long as this was done within x hours of the birth then the baby wouldn't need antibiotics.

I'm just a little upset that the Birth Centre has known for over 20 weeks my full medical history (including the part about my son's swabs being positive etc) and now it seems my only option is to birth as a public patient at the maternity unit. Which isn't a bad option, and might have been the one that we'd gone with anyway if we'd been rejected from the Birth Centre from the start, but it just seems kind of slack.

I'll be talking to my midwife again this week and finding out more -- for example, if we found a private paed, would his/her presence at the Birth Centre then make it possible for me to birth there, since apparently the factor precluding it is needing the baby to be checked over and having ABs within 30 minutes of birth.

I'm not sure what I'm looking for here -- commiseration, I guess, experiences, suggestions would all be welcome.

#2 Melissam12

Posted 25 November 2012 - 11:22 PM

Why can't they administer antibiotics to the baby in the birth centre?

#3 runnybabbit

Posted 25 November 2012 - 11:36 PM

They don't have a paeds team there, it's midwives only.

But why can't they whiz me up after the baby's born? Surely if something bad happened and I needed a crash C-section, I'd be upstairs within minutes. I don't have to lounge around on the big double bed for ages after the baby's born, I'd be happy to go upstairs with the baby and have paeds do whatever they needed to do.

#4 surprisenofour

Posted 26 November 2012 - 12:05 AM

Hmmm I tested positive and had iv anti b during labour, I would not want my newborn to be given anti b's as we have penicillin allergy running in the family. That was why I needed it via iv, my middle child has had a reaction and ended up quick sick in hospital, I would hate to see a newborn go through that. Thank you for posting though as I can ask about if my hospital has changed policies.

As for the birth centre, it is low risk I don't see them letting you labour or give birth in there. I had to be swapped from the birth centre to the labour ward after waters broke as it had mec in it. Yes I was disappointed but when it all went downhill quickly and the emergency button got hit it took less then 30secs for seven extra people to be in my room.

#5 *lightning

Posted 26 November 2012 - 12:20 AM

I would wait and do another swab for strep b, you might not be positive this time. I was worried about not getting to hospital in time for ABs or getting the ABs and ending up with thrush but in the end I was negative for my last baby.

I was positive with my DS2 but negative with DS3, was never tested for my first two pregnancies. Our hospital just monitors babies temp and watches them for signs of infection, they don't administer ABs to the baby unless they show signs of infection. I never received ABs with DS2 because he was born 15 minutes after we arrived but they just wanted to monitor him and thankfully he never got sick.



#6 runnybabbit

Posted 26 November 2012 - 12:05 PM

QUOTE (*lightning @ 25/11/2012, 11:20 PM) <{POST_SNAPBACK}>
I would wait and do another swab for strep b, you might not be positive this time.


My understanding is that GBS is transient so once you have a +ve swab you're always considered +ve; am I wrong on this?

The baby will only need antibiotics if I don't get the IV antibiotics at least x hours before birth.

#7 WYSIWYG

Posted 26 November 2012 - 12:47 PM

This whole strep b business is just so rubbish. Did you know that in a few states (can't remember which new off the top of my head) they don't even do the strep b testing now?
I will absolutely refuse to be tested next time, and I will also be refusing the antibiotics during labour (because I will be treated as 'positive' because of my previous swabs). There would also be NO WAY I'd have antibiotics administered to my baby for no reason.

I am sorry, I can't help with the birth centre side of things, I wish I could. Strep B testing makes me so angry, especially the way they try to restrict where you can or can't birth (like in your case). It is so ridiculous.

#8 JustOneMorePlease

Posted 26 November 2012 - 10:12 PM

QUOTE (RunawayPrincess @ 26/11/2012, 01:47 PM) <{POST_SNAPBACK}>
This whole strep b business is just so rubbish. Did you know that in a few states (can't remember which new off the top of my head) they don't even do the strep b testing now?
I will absolutely refuse to be tested next time, and I will also be refusing the antibiotics during labour (because I will be treated as 'positive' because of my previous swabs). There would also be NO WAY I'd have antibiotics administered to my baby for no reason.

I am sorry, I can't help with the birth centre side of things, I wish I could. Strep B testing makes me so angry, especially the way they try to restrict where you can or can't birth (like in your case). It is so ridiculous.


I completely disagree. It's not rubbish at all. My baby got GBS from me and he became very ill, very quickly. He was born less than 5 minutes after my waters broke and my labour was incredibly quick. His chance of getting GBS was extremely low, almost non existent because there was no prolonged rupture of membranes.

We were very unlucky that he got sick but the fact is he did. They don't make this stuff up for fun babies can and do die from GBS.

#9 Babby and Roo

Posted 26 November 2012 - 10:18 PM

I tested positive for GBS at 37 weeks but still had my baby in the birth centre (major Sydney maternity hospital). I got IV antibiotics shortly after established labour began and they recommended we stay in hospital for 48 hours after his birth to monitor him - every 4 hours they came in and checked pulse and breathing and temp I think.

Surely they can wait until your 37 week swab to make the decision about what you will need in labour? I too was told that GBS is transient so sometimes it is present and sometimes its not.

#10 runnybabbit

Posted 26 November 2012 - 10:44 PM

QUOTE (Strawberry Wellies @ 26/11/2012, 09:18 PM) <{POST_SNAPBACK}>
Surely they can wait until your 37 week swab to make the decision about what you will need in labour? I too was told that GBS is transient so sometimes it is present and sometimes its not.


Because I've had a baby who has had GBS (even though not sick but he swabbed positive, which counts him as having had EOGBSD) it means the maternal risk factor is there. Regardless of GBS status in this pregnancy that risk factor is still there. I believe there are no plans for me to be swabbed at all in this pregnancy.

Chubbles I'm so sorry to hear that your baby got sick, makes me very very thankful that #1 got his antibiotics promptly. We did have to deal with thrush after that, but clinical EOGBSD sounds like a lot less fun than thrush.

Runaway Princess Yes and I believe QLD (where I am) is one of those states, they take a risk factor approach instead of a screening approach. Having had a previous baby with EOGBSD puts me in the risky category regardless of my GBS carriage status in this pregnancy.

I am fine with me and/or baby getting antibiotics if the medical indication is there. I just feel that surely if the baby needs a full blood count, blood cultures and antibiotics within 30 minutes of birth, DH and baby can go upstairs while the midwife stitches me up etc and I'll follow straight after. The plan was for me to be transferred to maternity ward upstairs anyway to stay for 24-48 hours. I just don't see that actually delivering in the birth centre will hold up the neonatal investigation and treatment significantly.

I will have another chat with my midwife.

ETA thank you everyone for your input so far. original.gif

Edited by runnybabbit, 26 November 2012 - 10:45 PM.




Reply to this topic



  


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

Win Love Child Season 1 & 2 on DVD

To celebrate the release of Love Child Season 2 on DVD from July 9, Essential Baby and Universal Sony Pictures Home Entertainment are giving away Love Child Season 1 & 2 on DVD to 13 lucky winners.

10 things I wish my pre-baby self knew

I look back at my pre-baby self and laugh at how ridiculously easy I actually had it. I remember complaining about how tired I was and how little time I had.

Creative ways to store your child's art

Ideas for storing your child's artworks have moved on from sticking them to the fridge door before guiltily dumping them in the bin.

Child abuse ignored because 'it's not your children': Waleed Aly

Waleed Aly takes apart the immigration law that's designed to "protect politicians"

How a newborn niece changed star Australian basketballer's life

In August 2013 star basketball Abby Bishop was 24-years-old and in the prime of her sporting career.

Guilt is my new shadow

No one warned me that when I gave birth there would be an additional side order of guilt.

12 brilliant Ikea hacks for kids’ rooms

Check out these creative upcycling ideas that transform regular Ikea items into something special for your little ones.

Child's nightmare about 'man with a light' turned out to be real

For three days, a three-year-old boy had been saying there was "a man with a light" outside his window at night.

Toilet truths after giving birth

The thought of going to the toilet after giving birth is often feared, but there are ways to make it less painful.

Woman asks strangers for $1 million to stop her having an abortion

An anonymous woman is taking an extreme moral and ethical stand by seeking $1 million in donations to prevent her going ahead with a planned abortion.

How a woman's dying wish made another woman a mum

"I kind of think about, 'What did I do beforehand? What kept me so busy back then?' Because now I'm really busy."

The parenting do-over: what six parents did differently second time around

In playgrounds across Australia, you can hear parents lamenting, "When we have our next baby I swear I won't be doing THAT again".

A solo birth, a wasp swarm and a forest fire: mum and baby's amazing story of survival

Desperate, out of petrol and low on food, a new mother lit a fire in the hope of attracting attention.

Boy found on swing died of hypothermia and dehydration, autopsy finds

The story was chilling and heartbreaking: a three-year-old boy was found dead in a Southern Maryland park, his mother pushing him on the swing.

Child's play and laughter help battle fatigue

Feeling fatigued? Uh-huh, thought as much. Join the queue.

Dad shares entertaining 'how to hold a baby' clip

For many new dads, their own child is the first baby they have ever held. So one dad has posted an instructive YouTube video titled "How to Hold a Baby".

The Australian baby with 100,000 Facebook fans

She may be only eight months old, but Egypt has already amassed more than 100,000 fans and received a letter from royalty - Hollywood royalty that is.

Tongue tie: what you need to know

Tongue and lip tie can lead to many problems for babies - and their parents. Here are the signs of tongue tie and how it's treated.

My daughter is small but that doesn't matter

My daughter may be small, but it's my job as her parent to refocus back where it belongs - on who she is as a person

Wet wipes linked to rise in allergic reactions

The government has issued a health warning after a rise in allergic skin reactions has been linked to a preservative found in some wet wipes.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

27 funny ultrasound pictures

Ultrasounds give you a look at your growing baby ... and sometimes what appears to their womb-buddy, or your bub in an amusing position.

What all parents should know about safe babywearing

A picture of Ryan Reynolds always gets the girls talking, and a recently shared photo has done exactly that - but this time, it's for all the wrong reasons.

Baby's head shape reveals potentially fatal condition

Thinking her baby just had an unusually shaped head, a mother was shocked to discover it was instead linked to a dangerous condition.

Why IVF success rates may not be what you think

Transparency, accountability and responsibilityare essential measures to protect IVF vulnerable patients.

Mother-in-law 'from hell' inspires survival guide

The happily ever after Nicola Milan had imagined wasn't to be – and she blames her mother-in-law.

Owning a pair of nail scissors does not make me a hairdresser

It's been a whole year since sleeping in until 10am. A whole year since having a peaceful shower.

The 83 children who were tragically let down in the last decade

Over a 10-year period, 83 children died from domestic violence abuse in NSW, with three quarters of the victims aged five years or under, the NSW Ombudsman has revealed.

Is it reasonable to expect your partner to give up drinking in pregnancy?

From the moment that I fell pregnant with my son, I realised just how much my life had already started to change.

Stroke victim joins class action against makers of popular contraceptive pill

"I was terrified I would always be this way. The pill needs to come with a much higher warning."

Sexy time

Why you should get excited about scheduling sex

Unfortunately, the belief that sex should always be spontaneous is a myth. It just isn't.

When newborn photoshoots get messy

When it comes to newborn photoshoots, it is all about the timing.

Expert Q&A: Gross motor skill development in toddlers and preschoolers

Dr Katie Heathershaw answers questions about jumping, toe walking, riding a bike and being pigeon toed.

'Samuel is our firstborn, and he will never be forgotten'

Having lost their firstborn at one day old, the Carrolls were overjoyed to welcome their daughter Isobel into the world a year later.

Dad takes miraculous catch while feeding baby

One American father has taken multitasking to a new level at a Cubs-Dodgers baseball game at Wrigley Field.

Name your baby Quinoa, win a $10K gift card

Choosing a name for your little bundle of joy is always a major decision. It can be something traditional, trendy, creative … or inspired by the menu of your favourite chain restaurant.

On the 10th anniversary of my son's death

This day marks a significant day. Today marks 10 years since I lost my son Kai.

'Help - my toddler hits me!'

My toddler has started hitting when he gets frustrated, is feeling ignored, or just thinks it might be fun.

The top 6 misleading parenting terms

From 'morning sickness' to 'the terrible twos', there are many parenting terms that are misleading.

When 'good' nannies go bad

While most nannies take pride in their work, there can be some who have a hidden side.

Woman hospitalised for skinny jeans injury

Beware: skinny jeans might be bad for your health.

Gauze seeding: the bacteria-breeding birth trend

A number of women having caesarean deliveries are now taking steps to give their baby a better 'microbiome' start in life.

Jimmy Fallon writes new children's book for dads

Jimmy Fallon, host of NBC's The Tonight Show, recently wrote a children's book about every father's secret wish for their baby's first word to be "dada" - not "mama".

28 names for babies born in winter

Looking for some baby name inspiration for a bub born during the colder months? Here are 28 options from around the world to consider.

 

FREE TICKET

Get your FREE ticket to the Baby & Toddler Show

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.