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Re: Do I need to be induced because of GBS?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 12 Jul 2001 07:31:18 -0500 (CDT)


At Wed, 11 Jul 2001, stacia wrote: >
>I just learned that I tested positive for Group B Strep at 37 weeks. I
>cannot seem to find out exactly what this is except some "colonized"
>infection which can hurt the baby if she contracts it during labor. I
>read that I must receive IV antibiotics for 4 hours during my labor.
>However, my last labor lasted only 1 hour and 6 minutes!!! I am
>petrified that I would not have enough time to receive the appropriate
>dose to protect the baby.
>Is it best to have the labor induced so that my baby and I are closely
>watched? What is typical of women who have GBS and deliver vaginally? Is
>this life threatening to my baby in any way? Thank you for any input at
>all!!

Stacia, It is your type of case that present somewhat of a cunumdrum in this strep issue. You are correct that to have a beneficial effect, one must receive antibiotics in labor. We don't have the answer to patients with a history of fast labor and a positive culture. There are some trials ongoing using a long acting penicillin injection for folks with your history of fast labor. I would discuss the options with your physician. Induction is certainly one option... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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