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Re: Group B strep caused baby illness?

From: R. (anonymous@obgyn.net)
Thu, 31 May 2001 21:36:47 -0400


I am due 9-15-01 and tested positive for GBS. I received an initial course of antibiotics around 12 weeks. My OB also wants to start an antibiotic IV when I go into labor. As well as another culture obtained closer to my due date.

>From: anonymous@obgyn.net (Anne)
>Reply-To: anonymous@obgyn.net
>To: Multiple recipients of list PREGNANCY-BIRTH
><pregnancy-birth@mail.medispecialty.com>
>Subject: Group B strep caused baby illness?
>Date: Thu, 31 May 2001 13:58:13 -0500
>
>I posted this earlier in the women's health forum, but found this forum
>and thought posting here was more appropriate.
>
>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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