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Tested positive to Group B Strep Lock Rss

HI,

At around 35-37 weeks midwives do a test to see if you test positive or negative to group b strep. Sometimes they do it or they just give you the swap to do before you come to your 35-37 week appointment.

I found out this week I tested positive. The midwife explained I could of picked the infection up from anywhere. Im booked to have a c-section and they said that i will have to have a drip in giving me antibiotics during the procedure.

Is this a really bad thing? Can anyone shed some light on this subject.

Many thanks
Group B Strep isnt an STD/STI, you don't "Pick it up"
It is a type of bacteria that is naturally occurring in our bodies...
Here is some info for you.....



What is Group B streptococcus?
Group B streptococcus, or GBS, also known as group B strep, is one of many different bacteria that normally live in our bodies. Approximately one third of us "carry" GBS in our intestines without knowing.

About a quarter of women also have it in their vagina (. Most don't know it's there, as it doesn't usually cause problems or symptoms.

However, in rare cases GBS can cause serious illness and even death in newborn babies. Although these cases are unusual, GBS is the most common cause of severe infection in newborns, particularly in the first week after birth (known as an early onset infection)



How do I know if I carry GBS?
If you do carry GBS, you won't necessarily know as there aren't usually any ill effects. There is a test available for GBS, but this isn't done routinely in pregnancy (see Why isn't there a national screening programme for GBS? below).

Pregnant women often find out that they have GBS by chance, when they have a vaginal swab taken to check for something else. Also, GBS can come and go, so even if you've had a positive test earlier in pregnancy, you may not have GBS as you approach delivery.

It's important for pregnant women and their carers to know when babies are most likely to develop a GBS infection and what the signs of GBS infection in babies are.


Now I'm pregnant, what should I know about GBS?
Most babies exposed to GBS before or during birth suffer no ill effects. However, around one in 2000 babies in the UK develops a GBS infection. Sadly, about one in 10 of these babies die.

It isn't clear why some babies develop an infection while others don't. What is clear is that most GBS infection in newborn babies can be prevented.

Women in higher-risk situations can be given intravenous antibiotics either from the start of labour or from when their waters break (whichever comes first) until their baby is born.

Caesareans are not recommended to prevent GBS infection in babies as they don't eliminate the risk of GBS to the baby .

Very occasionally GBS causes infection of the uterus or urinary tract in new mothers.



Is my baby at risk of developing GBS infection?
The Royal College of Obstetricians and Gynaecologists has identified a number of factors that help to predict whether your baby is more likely to develop a GBS infection.

These include, if:
• you go into labour prematurely (before 37 weeks of pregnancy)
• your waters break 18 hours or more before you have your baby
• you have a raised temperature (38 degrees C or higher) during labour
• you have previously had a baby infected with GBS
• you have been found to carry GBS in your vagina and/or rectum during your current pregnancy
• GBS has been found in your urine during this pregnancy (this should be treated when diagnosed, but even if you have been treated, extra precautions should still be considered during labour


How should my labour and delivery be managed?
If you don't fall into one of the higher-risk groups, above, your baby is very unlikely to develop a GBS infection.

If you are higher-risk, research shows that having intravenous antibiotics from the start of your labour or from when your waters break until your baby is born can prevent most GBS infections in newborn babies.

Ideally, you should have intravenous antibiotics for at least two hours before your baby is born and every four hours during labour. There are some risks with taking antibiotics for you and your baby so your doctor will discuss your particular case with you to see whether treatment is the best option for you.

If you have two or more of the above risk factors then your doctor is much more likely to recommend treatment during labour to reduce the risk of your baby developing an infection.

If you are having a planned caesarean there is no need for intravenous antibiotics unless your waters have broken or labour has already started.

If your baby is at higher risk of developing a GBS infection, once he is born:
• he should be examined by a paediatrician immediately
• if both you and he are completely healthy, and you had full treatment with intravenous antibiotics during labour, he may be given intravenous antibiotics
• if both you and he are healthy, but you have not received full treatment with intravenous antibiotics during labour, he may be started on intravenous antibiotics until he's given the all clear
• if you or he shows signs of GBS infection, he should be started on intravenous antibiotics immediately

The best way to treat newborns at risk of GBS infection is an area that doctors are still researching, which is why in some cases your baby may or may not be given antibiotics.


What are the risks of treatment?
Most women and babies can safely be given penicillin as the antibiotic treatment for GBS without any ill-effects. However, a small number of people are allergic to penicillin and could have a severe allergic reaction (anaphylaxis), which can be fatal.

Women who are known to be allergic to penicillin can be given another antibiotic instead

Other less severe side-effects of antibiotic treatment include diarrhoea and nausea. However, there are concerns that antibiotics may affect the balance of a baby's bacterial flora in the gut

These adverse effects make some doctors more cautious about using antibiotics if there is not a clear need to do so, particularly for newborns. Some prefer a "watch and wait" approach for the first 12 hours after birth before starting a course of antibiotics that may not be needed.

What are the signs of GBS infection in a baby?
GBS infections in babies are usually "early-onset" (within seven days of birth), with 90 per cent occurring within 12 hours of birth.

In many cases, symptoms of GBS infection in babies can be recognised at or soon after birth.

Typical signs of early-onset GBS infection include:
• grunting
• poor feeding
• lethargy
• irritability
• low blood pressure
• abnormally high or low temperature, heart rate and/or breathing rate


Although more unusual, GBS infections can also develop when the baby is seven or more days old ("late-onset" GBS), usually as meningitis with septicaemia.

Some warning signs of late-onset GBS infection may include:
• fever
• poor feeding and/or vomiting
• drowsiness


Signs of meningitis in babies may include, as well as any of the signs listed above:
• shrill or moaning cry or whimpering
• dislike of being handled, fretful or irritable
• tense or bulging fontanelle (soft spot on head)
• floppy and listless or stiff with jerky movements
• blank, staring or trance-like expression
• being difficult to wake
• low or high breathing rate
• turns away from bright lights
• skin that is pale, blotchy or turning blue


Red or purple spots that do not fade under pressure (such as when pressed firmly with the side of a glass) are a sign of septicaemia

Early diagnosis and treatment are vital in late-onset GBS infection or meningitis. If your baby shows any of the signs above, call your GP immediately.

If your GP isn't available, go straight to your nearest accident and emergency department. The risk of your baby developing GBS decreases w
i tested positive, i just had a shunt in my hand and every 4 hours they put penicillen in..it wasnt to bad and im a big sook with needles & drips
I have had Group B Strep for all three of my kids, they just put a cannula in my hand and every 4-6hrs they put antibiotics in and I was on a saline drip. All of them were perfectly healthy, delivered naturally, we will have to see if #4 is the same grin Best of Luck to you for the safe arrival of your bubba!!

I also tested positive to GBS at 36wks and it was explained to me that it meant IV antibotics during labour... being my first baby I just trusted the medical people to give me all the information and didn't really think to ask more questions. I did read a little bit - enough to know it was a fairly low risk of infection for the baby and that the antibotics were more just in case of that very low chance occurring - this stopped me worrying but also meant I didn't really ask enough questions.

Of course I would never have risked my baby's heath but I wish I'd found out a few things before hand...

1. Testing positive to GBS meant that according to my hospital's policy I had to have labour induced when my water's broke before contractions started (if I hadn't been GBS positive they would have waited 24hrs to assess progression). If I'd known this in advance I would have researched induction more... luckily everything went really well but induction can sometimes lead to other problems and it's worth being prepared for it.

2. This also meant I had the IV (for antibotics and the induction drugs) plus needed to be constantly hooked to a monitor measuring contractions & baby's heart... this basically ties you to the bed and actually makes it fairly difficult to find a comfortable positions or move to ease contractions.

Of course this doesn't really affect you if you're booked for a c-section but just thought I'd mention for anyone else reading this.

It's interesting to see in the information from the PP that the antibotics carry a risk for mother & baby... this was never explained to me and no other options were discussed. Being a first time mum it didn't really occur to me that I had choice and a right to an opinion about anything, next time around I'll be a lot more confident in speaking up and questioning everything!

Thank you everyone, for your answers. It has really helped me with the questions I had and eased my mind.
Thank you again
Testing and treating pregnant women for STDs is a vital way to prevent serious health complications to both mother and baby that may otherwise happen with infection. The sooner you begin receiving medical care during pregnancy, the better the health outcomes will be for you and your unborn baby.
I tested positive last time round for group b strep, but when i talked to my midwife this time round (different midwife) she said that there has been new research that shows antibiotics can be a bad thing that early in life and the decision was up to me. I won't be having them. I will be in the birth centre for a few says after birth so i am happy there will be enough monitoring to pick up if something was wrong.







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