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Re: GBS, IV abx and very short labors questionFrom: Rachael (anonymous@obgyn.net)Sat, 12 Dec 1998 21:06:47 -0600 (CST)
I had a lengthy discussion with my OB at my 6 week check up last week about this, obviously because of what happened to my baby girl. He told me that this bacteria is such a random thing, that a woman can have it her whole pregnancy, but then not have it when in labor, or can have low levels and not test positive for it, then be sick during labor. With my experience, if and when I have another child, I will want to be induced sometime before term, and have lots of IV antibiotics during the induction. I was induced with this pregnancy at 37 weeks, due to hypertension and related low AFI, and I spent Wednesday night in the hospital to have hormones place on my cervix, then started with pit the next morning. Baby was born 9 hours after membranes were artificially ruptured. ANYWAY... I'll probably have a similar set up with the next pregnancy, so I can be sure to have plenty of antibiotics. My baby's pediatrician said we can also give antibiotics at birth, until a culture of the baby can be grown, so in case the baby is infected, this gives us a head start on the infection and the baby doesn't get nearly as sick. My impression with this whole thing is once you have a baby get sick with this, the OB and pediatrician are willing to do anything and everything to prevent it from happening again, and I'd be more than happy to be induced if that would prevent it. I guess it might not be necessary. My sister read somewhere (sorry, don't know where) that someone is working on a vaccine for this, because it has stumped both the obstetrical and pediatric world for so long. Might be helpful for anyone with questions to talk to a pediatrician as well, they have some different philosophies on the other side. And they're the ones who treat this. I found it very fascinating and informative to discuss this with my daughter's neonatologist (after she was better, of course). With a home birth, a pediatrician would also be able to tell you signs to watch for. With our daughter, the first thing they noticed with her was low blood sugar. This obviously required a heal prick. Then she developed a very mild fever (99.3), and shortly after that she started laboring with her breathing. Within an hour, she had to be ventilated. Thanks for the interesting discussion, hopefully some medical types will pipe in with some insight!
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