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.


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


Win a Mountain Buggy Swift

To celebrate Essential Baby reaching half a million Facebook fans, we have a Mountain Buggy Swift to giveaway to a lucky fan.

Shopping with kids: breaking the pester-power cycle

You're out shopping with your little one and they're incessantly whining that they want a treat. It's easy to say no ... the first time, at least.

eBay jacket may hold clue to murdered girl's identity

A jacket similar to the one found with the remains of a brutally murdered little girl in South Australia has been identified on eBay.

New mum forced back to work early due to paid parental leave 'technicality'

Shelley Parker had to keep driving buses until the date her baby was due and will have to rush back to work at the end of this week after being denied paid parental leave on a "technicality".

Pregnant Amanda Palmer poses naked for book drive

It has to be the most original way ever of promoting a children's book donation day.

The conception dilemma facing many parents today

Some parents who conceived through a sperm donor will be wary of telling the child, while others prefer to deal with it early on. But recent research suggests it makes little difference either way.

The wedding photo the bridesmaid would rather forget

We've probably all seen a passed-out bridesmaid at one wedding or another, but it usually happens towards the end of the night.

Pregnant TV meteorologist takes on haters

Pregnant TV meteorologist Katie Fehlinger has hit back at haters who called her a "sausage in casing".

Honest words from first-time mums

I didn't want to say anything negative to my pregnant friend, but I wish I'd been more honest.

Adorable baby experiences rain for the first time, couldn't be happier

Harper had seen rain from the comfort of indoors before, but had never had the pleasure of being outside and experiencing it first hand.

What it's really like to start a family in your fifties

Many people suppose that it must be much more tiring to have a baby in middle age, but all the mothers in the playground look exhausted, whatever their age.

'Biggest hypocrite ever': Josh Duggar admits to Ashley Madison account

An American reality TV star has been busted with a cheating website account, according to US media.

Long recovery ahead for girl hit by car weeks after baby brother's death

A little girl is more alert and starting to talk after being hit by a car a week ago, but still faces a long recovery.

How to react when a toddler lies

Q: My almost-3-year-old is starting to figure out that he can lie when asked if he ripped the book, threw the food, hit his brother, etc. Totally normal, I know. How do we respond?

The circular experience of a Centrelink client

A mum-to-be experiences the frustration of dealing with Centrelink, myGov and everything in between.

Kelly Clarkson announces live on stage: 'I'm pregnant!'

Singer Kelly Clarkson has announced she is pregnant with her second child during a concert in Los Angeles.


How to search the leaked Ashley Madison data

At least three sites are republishing Ashley Madison's user data on the public-facing internet.

Mum dances her way through labour

There are a fair few ways to distract yourself and beat pains while in labour, but it's probably a rare woman who chooses her dance her way through it.

'Rest in peace, my little lion': premmie baby Jacob passes away

Baby Jacob, whose photo of him born at just 27 weeks was deemed 'too graphic' for a fundraising site, has died.

Mum killed three young sons 'to help her daughter', prosecutor says

Niall Pilkington's death last summer apparently raised little alarm in Bellefontaine, Ohio. Tragic accidents happen, after all.

Shorter women have shorter pregnancies: study

When a group of researchers studied nearly 3500 mothers and their babies, they noticed a curious pattern.

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.


What's hot on EB

The worst 20 minutes of my life

Thirty seconds was all it took to turn a shopping trip into my worst nightmare.

Top baby names for England and Wales in 2014

George has overtaken William in the official rankings of most popular British baby names - and Game of Thrones is still having an impact on parents.

Baseball or baby? Dad's tough choice

What's more important, a baby or a baseball? That's a question this dad seems to struggle with.

Childbirth choices: five star or free?

It's not often you hear the words labour and luxury in the same sentence but for some, a 5-star start to parenthood is exactly what they seek. And with a number of private hospitals now offering packages which include a post-birth stay at a sumptuous first class resort, many mums are choosing to recover in style.

'Where did your boobies go, Mummy?' and other soul-destroying comments from kids

Most women carry a smidge of baby weight after giving birth. If you're lucky enough to have an older child in the house, they can keep you on track with your weight loss goals.

Do you read me, baby?

Is it too soon to be reading to my two-month-old son? If not, what should I read?

Minimising sibling rivalry when you've got a baby

Sibling rivalry is an act of competition, but if your children feel involved and special, this type of jealousy will be minimised.

Will studying on maternity leave take you away from your most important job?

I remember when I was trying to decide if I could combine motherhood and furthering my university education.

Win a Pacapod this Father's Day

To celebrate dads and families, we are giving away a Picos Pack from Pacapod Australia filled with a few extra goodies ENTER NOW

Preschooler hit by car shortly after baby brother's death

A mother has had a frantic race to the hospital after her daughter was hit by a car, just four weeks after her infant son died.

Gay couple and Thai surrogate in custody tug-of-war

A six-month-old baby girl is trapped in the Thai capital in a bitter custody wrangle between her Thai surrogate mother and her biological father.

Couple denied IVF over parenting concerns

A mother of six has been denied access to IVF treatment in order to have another child over concerns about her parenting skills.

The book that promises to put your children to sleep

Exhausted parents from around the world are singing the praises of a "miracle" book which promises to put even the most restless child to sleep in just minutes.

5 things every parent who feels guilty needs to know

Parenthood can make you feel bad, but you're not alone.

Royals criticise 'dangerous' attempts to photograph Prince George

The British royal family criticized paparazzi on Friday for what it called their increasingly dangerous attempts to photograph young Prince George.

'No jab, no play' rule to cover Victorian kindergartens and childcare centres

"Anti-vaxxers" face not being able to send their children to childcare centres or kindergarten if they refuse to have them immunised.

15,000 birthing kits on their way to developing countries

Giving birth in a hospital surrounded by medical experts is tough enough, but some women deliver babies without a clean sheet to lie on.

Photo of premmie 'too graphic', fundraising site says

When their son Jacob was born at just 27 weeks, Christina and Jeff Hinks were thrown into an uncertain world.

The latest Bugaboo collections: cool chevron and runner prams

Bugaboo sure likes to keep things fresh, and with the Australian spring/summer season coming up, there are two new Bugaboo pram releases.

Making room for two in the bed

Mum's room or their own room? Cot or bassinets? Deciding where twins will sleep can be tricky.



See Hi-5 LIVE in Sydney!

Get your free ticket to The Essential Baby & Toddler Show and save $20 - register online now!

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.