Strep B positive
What does this mean for me and baby?
, Mar 29 2012 01:08 PM
17 replies to this topic
Posted 29 March 2012 - 01:08 PM
I am almost 38 weeks pregnant and just got a call from ostetrician's office to say that I am positive for sprep b.
All I know this means that I need to have antibiotics during labour. I have a few questions:
- How are the antibiotics administered?
- If I need a canular for them, does this mean ill need to be hooked up to the machine the whole time? I want an active labour and hate the thought of being on the iv machine.
- What is the risk to the baby if I do get the antibiotics?
- Is there any good reason to refuse the antibiotics?
Any other info would be great.
Posted 29 March 2012 - 01:15 PM
Can't help too much but what I can tell you:
Im also strep b and will have the same should I go in to labour before planned c-section.
Antibiotics go into an IV line in your arm. I would guess that would mean a little bit of limited movement but one would think you should be able to have a portable IV line to wheel around.
As for risks to baby....Bubs can catch Strep B through the vagina on delivery and it is potentially fatal to baby. There is at least one other regular on EB that unfortunately lost her baby to Strep B. On that basis alone I would think there is no good reason to refuse the antibiotics.
Posted 29 March 2012 - 01:23 PM
I was positive for Strep B for the birth of my 3yo, I was also induced so limited to the bed anyway and didn't notice the extra line.
I was negative for my last birth, so didn't have the line, but had a very active birth, I don't think an extra line would have changed anything.
Posted 29 March 2012 - 01:29 PM
If you have the time/inclination you might want to see if you can get hold of a copy of "Gentle Birth, Gentle Mothering" which has a whole section on Strep B. I read it the other day - but can't remember what it said, sorry! Had a lot of research included about risks to mother and baby.
Posted 29 March 2012 - 01:36 PM
I was positive for Strep B for 2 of my births - they just gave me antibiotics through a needle or drip. It was no problem - I was still able to move around and was quite active during labour.
An EB parent lost their baby by contracting Strep B and I always feel for them and think about it whenever someone asks about it. Because of this I wouldn't refuse the antibiotics.
Posted 29 March 2012 - 01:57 PM
My DS who is 9weeks today got Group B Strep from me. He went from being a happy, healthy baby to a very sick baby very, very quickly. My labour was quick. My waters broke only 5 minutes before he was born so there was no time for me to get antibiotics. After he was born I was told there was no chance of him getting sick because the birth was so quick. Usually it is risky for the baby if you have prolonged rupture of membranes, which I did not have.
Unfortunately we were very unlucky and he did get sick. He ended up in Special care and I came home without my baby
He is fine now because the hospital staff diagnosed him so quickly. He got antibiotics as soon as they realised he was sick and he has now made a full recovery.
I would never refuse antibiotics if it could sop my baby from getting sick and potentially dying.
Posted 29 March 2012 - 02:05 PM
It is administered through a drip and one dose goes for about 20 minutes. Generally they would put it in as soon as you are in labour.
I was positive with both my boys and it did not get in the way of an active labour at all. Also I have a reaction to penicillin, so I got a different antibiotic. I think the penicillin one is even quicker.
Posted 29 March 2012 - 02:10 PM
Wow very scary to hear that babies can die from this
Chubbles, Im sorry this happened to your litle boy, but relieved to hear he is recovering well.
Thanks for the info, I certainly wont be refusing antibiotics, and hopefully the iv wont be too cumbersome and they can unhook me between doses of AB.
Posted 29 March 2012 - 02:20 PM
You should only need one 30 min dose every 6 hours or so, so its not going to inhibit your movement too much
You should be able to unhook inbetween.
The risk to the baby is if you refuse them, and no, there is no good reason not to have them
Posted 29 March 2012 - 02:27 PM
Iv had it with both my babies. with ds i was induced so got it once that happened and then every 6hours. So got the shot 3 times I was still able to move around the room, just hooked up made it hard with labour. With dd, was induced again, so got the shot only once as she came out 2hrs later. I didnt have anything hooked up to me so was alot easier this time. They do look out for signs once the baby is born, also
Posted 29 March 2012 - 02:56 PM
I was neg for DS but pos for DD and I too was scared of the effects of the antibiotics would have on her.
Having had a quick labour with DS I was also told if there wasn't time to get all the antibiotics into my system then they would give bub a dose when she was born, this concerned me even more. I figured it would be better if it had to be done, for me to be the one to get the dose.
Anyway it turned out that I went to hospital late arvo as i was suspicious my waters were leaking, and they were, but nothing else was happening. They wouldn't let me leave and the 3 doses of antibiotics were administered via the cannula into my hand every 6 hours I think it was (6pm,12am and 6am) so I wasn't "hooked up" to anything, so my mobility wasn't restricted at all.
Worked out well for bub as still no indication of labour until OB broke my waters in morning and then DD was born less than 3 hours later.
As PP have said even though it probably is unlikely your bub would contract strep B, the consequences if bub does can be terrible so personally I wouldn't risk it.
Posted 29 March 2012 - 03:09 PM
I had group b strep with both babies. The first I had a cannula for an induction anyway so they administered antibiotics through that.
The second time I went through a birth centre, they gave me a pill to take at home in case my waters broke - which they did. I then had to make sure I went into the centre within 24 hours of my waters breaking (my labour started about 10 hours later so I went in then). They then gave me injections every 4 hours or so - but no cannula needed!
Posted 29 March 2012 - 03:18 PM
OP also check with your OB what he considers adequate cover.
How many doses would he like you to have before the baby is born, how soon prior to birth etc.
Some places, if you don't have adequate cover before the baby is born, or meet certain other risk factors, recommend screening your baby following birth, and administering antibiotics (by iv cannula or injection) to your baby, and wait for the blood results to show if the group b strep has been transmitted or not. (usually 48hrs)
Your ob should be able to go over their policy/hospital policy with you.
Posted 30 March 2012 - 02:21 PM
Suline, I am actually a public patient doing shared care with the obstetrician. So he wont be attending the birth.
When his office called they didnt mention needing anything prior to going into labour.
I am seeing my midwives late next week - do you think I need to do anything before that? I dont want to take any risks with the baby
Also, I would definately know if my waters had broke, wouldn't I? There is always a lot of mucousy stuff in my undies (sorry for TMI) ...but I would know if it happened wouldnt I?
Also, is being strep b positive a reason not to use an epi-no? I have been using one but stopped when I got the positive result just in case.
Posted 01 April 2012 - 04:10 PM
You will most probably just have a small cannula in your arm. You do not have to be hooked up to an IV line on a pole unless you are having IV fluids for another reason.
I can't see why you shouldn't use an epi-no. If your membranes are intact your baby is safe.
Posted 01 April 2012 - 04:20 PM
You don't need to do anything prior to your next visit. The midwives should be able to cover the hospital policy of monitoring you and your baby etc.
Most women know when their membranes rupture, its usually a pretty big gush. If you get a bit of a warm trickle, it could be a slow leak. You just need to call up your Ob or head into the hospital to get it checked out - no need to worry.
I would still use the epi-no, I can't see any problems with that!
Posted 01 April 2012 - 05:47 PM
I was Strep B positive but bub came early (37w2d) and because it was the Easter long weekend, the hospital and obs hadn't received the lab results yet.
We were down south on a dirty romantic getaway when my membranes ruptured, anyhoo, so by the time we got to the hospital and they phoned the lab and realised I was Strep B positive, it had been six hours post membranes rupturing and the baby had been exposed.
They did respiratory, ear and GI swabs when he was born, and he had a course of oral antibiotics (five days). His swabs came back positive but he never showed any signs of being ill because he had his first antibiotic dose when he was about an hour old. Not ideal but that's okay.
The only thing was that we got a bout of nipple/oral thrush as a result of the antibiotic treatment, so just be on the lookout for that. That was a real pain to deal with.
Posted 12 April 2012 - 04:14 PM
The only thing was that we got a bout of nipple/oral thrush as a result of the antibiotic treatment, so just be on the lookout for that. That was a real pain to deal with.
This ^^ was us too. The Royal Women's Hospital website has a good info sheet on nipple thrush. I really wish I had read it beforehand, by the time I figured out what was going on the thrush had set right in and it took a month of treating it to clear it up! We did get there thought.
In regards to being GBS+: I was in a birth centre and they put a cannula in my hand and administered the ABs every 4 hours I think. It only took a minute. The thing in my hand was a little uncomfortable but didn't inhibit me in anyway, it was fine in the shower. The midwife even administered the ABs to me in the shower at one point!
My waters broke long before labor started and they were getting anxious and were going to induce me with the drip, which I really didn't want. Each hospital's policy in regards to induction due to GBS+, membrane rupture and no contractions is different. I highly suggest you discuss this possibility with the midwives so you know where they stand. I managed to avoid the induction and got labor started on my own which was the ideal result for me, but the whole thing may have been quite different and negative if I hadn't have fully understood the risks and policies that we were working with.
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