Jump to content

Strep B test/treatment


  • Please log in to reply
12 replies to this topic

#1 3inthebed

Posted 07 January 2013 - 01:36 PM

In between having my last baby and this one (due in 8 weeks) the GBS test has become optional rater than compulsory at my hospital. I am not opposed to the test or the treatment (was positive last time) but now since it is not compulsory to test I am considering skipping the test.

If you are "unknown GBS status" when delivering at my hospital, they just take extra temperature readings of baby once born and suggest a 48 hour stay to monitor baby just in case.

I wil certainly allow treatment of baby in the event of any worrying signs post birth.

My reasons for thinking this way are mainly due to the fact that my labours seem to be too quick to deliver the required amount of antibiotic anyway, there was a bit of stress having my newborn with canula in arm all bandaged and splinted up  making feeding difficult and ending up being unnecessary anyway, plus the risk of thrush with antibiotics (which has plagued me this pregnancy).

I want to be informed as possible, so can anyone see any potential issues with this strategy I am contemplating? I have a few weeks to make up my mind.

#2 Soontobegran

Posted 07 January 2013 - 02:04 PM

QUOTE (silvek1978 @ 07/01/2013, 02:36 PM) <{POST_SNAPBACK}>
My reasons for thinking this way are mainly due to the fact that my labours seem to be too quick to deliver the required amount of antibiotic anyway, there was a bit of stress having my newborn with canula in arm all bandaged and splinted up  making feeding difficult and ending up being unnecessary anyway, plus the risk of thrush with antibiotics (which has plagued me this pregnancy).


Won't comment about having the test or not because everyone needs to make an informed and educated decision that is right for them but I just wanted to say that having a cannula in your arm for a couple of doses of antibiotics should not get in the way or need to be splinted. It should be able to be removed after the delivery meaning it won't get in the way of feeding either.

If you need one then ensure they insert it onto the top of your forearm, it will not need splinting or bandaging and does not restrict movement in labour.
Good luck.

#3 scarfie

Posted 07 January 2013 - 03:16 PM

STBG, I think the OP was referring to a cannula in her newborns arm, which may have been deemed necessary if she did not receive adequate cover of IVAB's during her quick labour.  I might be wrong though, that is just how I read it.

At the hospital I work at, if you do not test you are deemed negative, just make sure that is not the case at your hospital.  Ask to see the policy regarding this.  But, of course, if you don't mind having a 48 hour postnatal stay, then it could be a good reason not to do it!

As STBG says, it is important that you make an informed consent, you need to decide what risk your newborn has of contracting GBS and make your decision based on that.



#4 Soontobegran

Posted 07 January 2013 - 03:20 PM

Ahh, you could be right there scarfie now that I have re read it original.gif



#5 crackles

Posted 07 January 2013 - 03:23 PM

Op was referring to the baby having the cannula and arm splint. My ds had it done as he had a slight temp after he was born (turned out it was totally unnecessary) and is annoying when trying to feed and dress Bub.
Op I want an answer to this too as my labours are generally too quick for me to have the antibiotics myself (assuming I test +)
I guess I'll just have to stay the 48hrs they recommend while they wake the Bub every hr and don't bother resettling it (as they did with ds - very annoying!)

#6 Soontobegran

Posted 07 January 2013 - 07:36 PM

QUOTE (crackles @ 07/01/2013, 04:23 PM) <{POST_SNAPBACK}>
Op was referring to the baby having the cannula and arm splint. My ds had it done as he had a slight temp after he was born (turned out it was totally unnecessary) and is annoying when trying to feed and dress Bub.
Op I want an answer to this too as my labours are generally too quick for me to have the antibiotics myself (assuming I test +)
I guess I'll just have to stay the 48hrs they recommend while they wake the Bub every hr and don't bother resettling it (as they did with ds - very annoying!)


I really do understand the annoyances but I think it pays to remember the devastation that can occur if your newborn contracts Strep B. I think I'd rather be over vigilant than slack.


#7 imamumto3

Posted 07 January 2013 - 07:48 PM

I was gbs positive for my third pregnancy.  I had a fast delivery for my second (vbac), so being positive was one of the reasons I was induced for #3, to be able to get at least 1 dose of abs in.  I'm glad that I did it that way, a bit less stress after delivery

#8 ~sydblue~

Posted 07 January 2013 - 07:57 PM

QUOTE (soontobegran @ 07/01/2013, 08:36 PM) <{POST_SNAPBACK}>
I really do understand the annoyances but I think it pays to remember the devastation that can occur if your newborn contracts Strep B. I think I'd rather be over vigilant than slack.

I agree. Better to be on the safe side.

#9 monkeys mum

Posted 08 January 2013 - 01:55 AM

I was positive in my last pregnancy and it is my understanding that i will be treated as positive this pregnancy, though its on my list of q's to ask next appt.

My last labour was quick, but i also had to have ivabs due to allergic reactions to an ab. They pushed this through in about 40minutes as the midwife was getting concerned as delivery seemed to be very close. I am happy i had it even though i hate canullas, i figure a pain in the behind drip is a lot better then a sick newborn, also my thinking was even if it didnt all finish at least some was better then none.

I guess what you need to find out is if being positive in the past if you will be treated as positive no matter what, if you dont get the full amount of abs on board can a wait and see approach be done instead of straight to a drip in bub. Can you call ahead so there is no delay in waiting for the abs to arrive. Do you need iv abs or can you get them via injection?

I guess the other thing to think about is even though you have had a quick delivery doesnt mean this one will be quick. I also didnt have my waters break naturally and they werent broken till after the drip had finished, so in your labour is there something that could be done to help the abs get through. Even if its heading to the delivery ward as soon as you think its all starting.

Research both by yourself and from talking with your ob, midwife etc should all be taken into account when making your decision.

#10 Natttmumm

Posted 08 January 2013 - 07:12 AM

I would get the test so you know what's required. If you don't have it then no dramas

#11 Koobie83

Posted 08 January 2013 - 09:02 AM

I would too - there's no harm in testing right?
I have been told I will need to be tested because I've had it before, but when I was tested a few weeks ago or so it was negative. So hopefully it stays this way.

#12 Leee

Posted 08 January 2013 - 09:08 AM

I don't like how some hospitals now assume you are positive if you were a previous time, this was not the case for me.

I was positive the first two times, with the second birth I did not have time for antibiotics. For my third I refused the test as it was not going to make me go to the hospital earlier just to have antibiotics. I then got to 40 weeks and was looking at being induced so had it done. I then went into labour three days later. When I arrived they checked the results and they were negative, so all my worry about whether or not to test was for nothing.

I know GBS infections are very serious. I do though have some concerns about being labelled positive when at delivery you could be negative and vice versa. I also think you you have to consider the risks - prolonged second stage and prolonged rupture of membranes would put you at greater risk and this was not the case in any of my labours.

#13 3inthebed

Posted 08 January 2013 - 11:20 AM

Sorry I did mean the canula in baby not me. ALthough the canula in my arm did take 1 hour to put in, caused a massive bruise and meant I couldn't lean on my wrists in labour, so it did greatly restrict me. This is not a deal breaker though. I am happy to put up with a bit of discomfort. The canula in babys arm did make an already painful feeding process even more awkward. Again, not a deal breaker.


QUOTE (soontobegran @ 07/01/2013, 08:36 PM) <{POST_SNAPBACK}>
I really do understand the annoyances but I think it pays to remember the devastation that can occur if your newborn contracts Strep B. I think I'd rather be over vigilant than slack.


STBG I really do appreciate your advice (since I believe you are in the field of midwifery - i think???). I would in no way want to take risks (i am not a risk taker at all) but I was hoping my strategy will negate most risk. Would I still be vigilant if my hospital policy is that they assume I am positive and hence monitor baby for 48 hours? Then administer what is needed WHEN it is needed, as opposed to administering potentially unnecessarily. I fully understand the devastation that can occur if baby contracts Strep B but if they are monitoring temps for 48 hours shouldn't it be picked up then dealt with? I am thinking it would be no different to my last birth where there was not enough time for ABs in labour so baby was monitored for 48 hours. Or is there a factor I haven't thought of?




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Woman gives birth on the same date as Duchess Kate - twice

Monika Tano will never forget the birthdays of either Prince George or the yet to be named new princess.

Budget 2015: Wealthy families to keep childcare

The federal government has ignored a recommendation by the Productivity Commission to slash childcare support for wealthier families.

Toddler styling

Seven things my toddler taught me about my home

My standards at home were never that high but having a two-year-old has taught me to be cool with chaos.

Australia's top baby names of 2014

The numbers have been crunched and it's official: Australian parents are having a bit of an 'O' moment.

How to set up the perfect nursery for your baby

You'll soon be meeting your baby, but you've got one big task to get done first: setting up a comfy, calming nursery you'll both be able to enjoy.

Carrie Bickmore shines and inspires at Logies

A new mum's first night out after having a baby is always a noteworthy event, but Carrie Bickmore's evening away from her newborn was more eventful than most.

Childcare rebate: tougher rules for stay-at-home mums

A new form of activity testing will be introduced to ensure the highest subsidies go to parents who contribute the most to the workforce.

Kate and William show off baby daughter

After a three hour labour and a day stay in hospital,the Duke and Duchess of Cambridge left for Kensington Palace this evening with their new baby daughter.

The women who desperately need more support in pregnancy

For women suffering from chronic morning sickness or hyperemesis gravidarum, pregnancy can be the roller coaster from hell.

Mum's grief for triplets inspires change

The death of Sophie Smith's triplet baby boys has motivated the half-marathon mother and her team to raise $1.25 million for charity.

When labour doesn't happen and you're induced

I never actually went into labour - so by 42 weeks I was booked in for induction.

As a guilty mum: the best advice for treating head lice

Just like a horror movie ... THEY'RE BAAAAAACK. So what works in treating and avoiding head lice and nits?

No, having a dog is not like having a human child

It's obvious these people dote on their pets, but they're barking up the wrong tree.

Confirmed: Kate Middleton is in labour

The Duchess of Cambridge is in the early stages of labor at St Mary's Hospital.

Baby-led weaning worked for us

My baby wasn't interested in food - until we tried something new. Now she's eating it all, and it often comes from my plate.

Parenting an early walker

Watching your child take their first wobbly steps is one of the best parenting highs you'll ever experience. But with that high comes a new reality.

Seven questions you should be asking about your health cover

If the last time you assessed your health cover was five years ago, there?s a chance it may no longer suit your needs. To ensure it?s still right for your family, click here for seven questions to ask.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Playtime guide:

A new area on our site for all your playtime and learning fun with baby - specially brought to you by Fisher-Price Play IQ?. PLUS your chance to win a year's supply of toys.

Celebrate being a mum with Offspring

This Mother's Day, treat yourself to possibly winning an ultimate Mother's Day gift pack valued at $250 including the Offspring Box Set. Enter now!

Overdue and over it

A watched womb never labours ... or at least mine didn't.

'Paralysed bride' becomes a mum

Rachelle Friedman Chapman was preparing to marry the man of her dreams when tragedy struck four years ago.

Surprise baby born on toilet

Discovering your wife has just given birth on the toilet would be a surprise for anyone. But the shock would be even greater if neither you or your partner knew you were expecting a baby.

5 spooky photos with babies and children

These five photos show some ghostly images - but are they real? Do you believe in the spirit world?

Does it matter how much time you spend with your children?

Does spending more time with your kids help their development? This is a more complex topic than it may seem.

Rare condition diagnosed during optional scan

A mother who opted for a 4D scan late in pregnancy discovered her unborn baby had a rare brain disorder.

Vintage baby names having a comeback

What makes some names have comebacks while others silently fade into oblivion? A few factors come into play.

Proof it's impossible to not join in a toddler's laughter

They say laughter is the best medicine. If that's true Tom Fletcher and his son should live long, healthy lives.

Cleveland captives speak about their decade of terror - and their futures

"I think we were just tired of people talking, trying to tell our stories, and they had no idea, no clue, what we went through."

How to play with your newborn

Even though they're immobile and can't speak, there are plenty of ways you can engage and communicate with your newborn to stimulate their physical, cognitive and emotional development.

Where to get help to help your baby sleep

There is so much pressure about having a baby who sleeps 'all night' , it's no wonder you worry about your baby if she wakes in the night.

How to talk about your pregnancy at work

The workplace isn't always a friendly place for pregnant women. Yet working women inclined to conceal a pregnancy from prying coworkers may be better off opening up and carrying on, according to a new study.

The Goss

Sonia Kruger: 'One baby is enough'

The popular TV host has no plans for a sibling for her new daughter Maggie.

How I really feel about my drug-free birth

Do I feel 'smug'? No. Nor do I feel remotely superior. Each birth was valid and valuable in its own right, producing, as it did, a healthy baby.

Mum of six faked cancer to get donations, police claim

Elizabeth Edmonds' husband posted some devastating news on Facebook last year.

I'll admit it: I have last child parenting fatigue

If you're a new mum and feeling ignored by the older mum/the old hand/the has-been, please know, it's not you, it's me. Blame the last child parenting fatigue.

Cobie Smulders speaks about her battle with ovarian cancer

The 'How I Met Your Mother' star has revealed that she was diagnosed with ovarian cancer at 25 - and was told she'd never conceive naturally.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

 

Top baby names

Baby Names

The numbers are in and we can now bring you the 2014 top baby name list for Australia.

 
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.