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

 

WIN a $500 Visa debit card

Are you a parent? Simply take our survey for your chance to win a $500 pre-paid VISA debit card.

Breastfeeding doesn't make you a better mum - feeding your baby does

Given my immense dislike of Hopkins and her opinions, I was genuinely shocked to discover that last week she actually said something that I agreed with.

'Toni, another baby has died': the anguish of watching governments fail our babies

It has been six years since whooping cough claimed the life of four-week-old Dana McCaffery. Her parents are angry that lessons learnt weren't enough to save other babies.

Longer breastfeeding linked to higher IQ

A study of 3500 infants has found that babies who are breastfed grow up to be more intelligent and wealthy.

The 2015 flu vaccine: what's new, who should get it

For certain members of the community, catching flu can lead to severe illness or death. A vaccination can be lifesaving.

Dealing with a nappy escape artist

I hear about the tots that have a penchant for ripping their nappies off and the odd one that even smears the brown stuff on the walls and fine home furnishings, and I shudder.

Hospital apologises for 'traumatising' baby mix-up

St Vincent's Hospital has apologised "unreservedly" for a baby mix-up that left one new mum traumatised.

Tips for flying with a baby

Travelling with kids requires a whole other set of skills - ones that I have learned through (sometimes unfortunate) trial and error.

How to stay calm in an emergency

I’m not expecting you to be as calm as you might be right now. What I mean is that if your panic levels are through the roof during a stressful situation, let’s bring them down to just under the ceiling.

Toddler gets 'drunk' after cranberry juice mix-up

A toddler was taken to hospital after a waitress served her sangria instead of cranberry juice at a US restaurant.

We need to stop using this word when we talk about childbirth

Is it shaming to point out that women are often being let down in birth?

The certificate helping parents deal with pregnancy loss

For some people, this certificate will offer a sense of validation that their child was acknowledged as being here and now gone, and will help them with life post-loss.

Grieving families give warnings after toddler deaths

Two Queensland families are grieving the loss of their toddler sons after the boys drowned in separate incidents last week.

The phenomenon of phantom pregnancy kicks

'Phantom pregnancy kicks’ are encountered by many mums months - or even years - after their pregnancy is over.

The health insurance advice you can't afford to ignore

There's one simple switch that could save you hundreds of dollars a year in private health insurance.

4D scans show how smoking affects babies still in the womb

The harmful effects of smoking during pregnancy on unborn babies may be seen in tiny movements in their faces using 4D ultrasound scans, research has found.

How to babyproof your job interview

Once upon a time, I was a fan of job interviews. That all changed after I'd switched careers, had a baby and decided to spend the first year at home with her.

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

The most dangerous toddler food trends

Pete Evans' paleo cookbook for kids caused a storm, but there are plenty of other unsafe food trends for babies and toddlers.

Infection killed new mum of twins

Modern medicine could not save 19-year-old Sophie Burgess who died 48 hours after giving birth to twins in the UK.

Win a Ben & Holly's Little Kingdom prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, we are giving away five DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

Man faces jail after giving woman abortion pill smoothie

A Norwegian man is facing jail after putting abortion pills in his ex-girlfriend's smoothie, causing her to have a miscarriage.

'He's a blessing': family of baby born without eyes

Jordy Jackson was born without eyes. He has anophthalmia, which affects one in every 100,000 babies born.

Win one of 5 Cadbury Easter Hampers

With Easter fast approaching, Cadbury are giving away 5 Cadbury Easter Hampers. Enter Now!

Super fit model Sarah Stage defends her pregnancy body

Model Sarah Stage has defended her pregnancy body after critics claimed her slim figure at eight-and-a-half months pregnant wasn't "normal".

Win a Ben & Holly's Little Kingdom and Peppa Pig prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, Essential Baby and Entertainment One are giving away five bumper DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Why I post breastfeeding photos online

I love to take pictures of my children. In some of the pictures, my younger son is nursing.

The day I broke my baby

There are things I wish I didn't know. I wish I didn't know that companies make tiny braces, small enough to hold necks no bigger than a wrist.

The place just for dads of multiples

When a couple discovers they're expecting multiples, the dad can sometimes be almost forgotten in all the excitement and preparation. But one group offers a space just for dads of twins and higher-order multiples.

Brave mum calls for domestic violence law reform

A brave mum of two has shared details of the harrowing attacks she suffered at the hands of her partner in a bid to help other victims of domestic violence.

Why I had the new test for Down syndrome

Early last year I turned 35, and having just found out I was pregnant, I opted to have the new test for Down syndrome.

Geeky baby gear

If your family is more into Star Wars, gaming and the periodic table than most, you might want to check out these geek-chic baby items.

2015: the year of the sheep

According to the Chinese zodiac, babies born in the year of the sheep are creative and enjoy spending quiet time with their own thoughts.

Breakthrough genetic testing now available in Australia

Pregnant women will for the first time have access to locally analysed, accurate, non-invasive pre-natal genetic testing when the first Australian clinic to offer the services opens its doors next week.

Grandbabies: the babies born looking old

Not a day under 65 and a lifetime of struggle! That's the look of these newborns, who look adorably older than their real age. Social networking site Reddit recently featured user submissions of adorable grandbabies, here are our favourites.

Family kicked off flight after toddler seatbelt drama

An entire family was kicked off a Cathay Pacific flight when a misbehaving toddler refused to put his seatbelt on.

Stolen baby found after 17 years

A baby stolen from her mother's arms shortly after birth has been found through an astonishing coincidence.

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.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Sign up now!

30 days of #PlayIQ challenge

Receive a daily email from Essential Baby during April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.

 
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.