Re: Group B strep caused baby illness?

• Messages sorted by: [ date ][ thread ][ subject ][ author ]
• Next message: R. Daniel Braun, MD: "Re: size of endometrium lining during ovulation"
• Previous message: R. Daniel Braun, MD: "Re: crazy, obsessive questions"
• In reply to: R.: "Re: Group B strep caused baby illness?"

Current recommendations are to do the first and only culture at 36 weeks. GBBS comes and goes on its own and there is no reason at all to culture for it before 36 weeks or to treat it before the onset of labor.

>>
>>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
>>

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

• Next message: R. Daniel Braun, MD: "Re: size of endometrium lining during ovulation"
• Previous message: R. Daniel Braun, MD: "Re: crazy, obsessive questions"
• In reply to: R.: "Re: Group B strep caused baby illness?"