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Re: Group B Strep riskFrom: Lynn D. Montgomery, MD (anonymous@obgyn.net)Wed, 12 Dec 2001 09:56:22 -0600 (CST)
At Wed, 12 Dec 2001, anonymous wrote: > >Hi...I keep seeing posts from people who say things like, "not having >risk factors for GBS", and "am not in a high risk group for GBS". I >thought GBS was present in about 20-30 (or so)% of the population (under >NORMAL circumstances), and that it is NOT an STD, etc. So what makes >someone part of a "high-risk group". I tested postitive by urine >culture (not by swab) in my last pregnancy. I am now 38 weeks with my >second, and will get the antibiotics just to be on the safe side. Did I >do anything bad to get this bacteria? You have strep? Wow, you are a bad person. (just kidding). Your facts are correct. The risk issue comes into play in the way a physician determines who to treat. There are two ways to determine who to treat during pregnancy. One way is to perform a vaginal culture on all patients between 35-37 weeks and treat only those with a positive culture. The other way is to use "risk" groups, i.e. those with prolonged ruptured membranes, delivery prior to 37 weeks or in your case, a history of a positive urine culture. Risk is only used to define the circumstances used to decide whom to treat... Lynn
-- Lynn D. Montgomery, MD Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center Missoula, Montana
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