Group B strep caused baby illness?

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I had a baby that was born at 35 1/2 weeks. Here is the history. At 28 weeks was dilated 1 cm. No progression on dilation until 35 weeks. At 35 weeks, dilated to 3cm and having contractions. Received terbutiline to stop contractions. 2 days later, wake up at 2am and realized water broke. Went to hospital at 4am and received antibiotics at 10am (never tested during pregnancy or after labor for GBS) and was induced starting at 11am to help progress with labor. Baby was born at 1pm.

My son had grunting, flaring, and retractions within 15 minutes of life, although is apgars were 9 and 9. He ended up having severe respiratory distress and persistent pulmonary hypertension. He was transferred to another hospital. His hospitalization summary indicates possible sepsis, unknown organism, and pneumonia in addition to his severe RDS and PPHN.

About 8 months after he was born, I was tested for GBS because I was curious if this could have been the cause because I was never tested. I tested positive. So my questions are this:

1. Should I have received antibiotics sooner than 10am since I was in preterm labor with my water broke (earliest I knew was 2am but could have been sooner)? How soon should someone receive antibiotics if their water breaks and they are GBS positive or it is unknown about GBS?

2. Is there some type of blood test or other test that can determine if the baby was infected?

Thanks for your help.

Karen

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