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Re: Group B Strep in pregnancy
From: AnnMarie (anonymous@obgyn.net)
Tue, 16 Nov 1999 16:25:27 -0600 (CST)
After my daughter was born in 1994 I was told that my next pregnancy
should be induced. I developed GBS about a couple of years ago. With
this added to my birth history, it made my doctor want even more to
induce me. I haven't discussed this with my new one yet, but I already
know they want to induce. :(
I would prefer not to be induced IF I can convince the doctor of it. But
since my daughter came so fast and pain-free at home last time, is it
possible IYHO to avoid an induction since I have Strep?
AM
At Sun, 14 Nov 1999, Harvey S. Marchbein, M.D. wrote:
>
>At Fri, 12 Nov 1999, Nikki wrote:
>>
>>I cannot believe that it is not standard practice for the OB/GYN to test
>>for GBS before term. When is it going to become mandatory to test for
>>this? My doc does it routinely at 36 weeks to prevent just such an
>>occurrence. I was GBS positive and had PROM, just a slow trickle -
>>thank God I noticed it. I had just found out I was GBS positive a half
>>hour before I started trickling. I called the doctor back and was put
>>in the hospital on IV penicillin for 5 days before the bag ruptured
>>completely and I went into labor.
>>
>>Anyway, thank God my doc tested for GBS so early or I might have had a
>>similar experience. I shudder to think of my baby exposed to GBS for
>>those 5 days in the womb after the bag ruptured but before labor. I
>>guess that's why PROM is the worst thing that can happen with GBS.
>>
>>I am not a doctor, but I would think that oral antibiotics prior to your
>>scheduled date would be a safe route to take, in addition to the IV
>>antibiotics before surgery.
>
>We went over this on the forum before so this is the short version.
>
>There are 3 sets of recommmendations:
>1)American Academy of Pediatrics - cult GBS 24-28 weeks
>pro- find a lot of GBS (appproximately 25% of women would have to be
>treated);
>con- treat a lot of GBS that would not appear at term and cause a lot of
>resistant strains which will kill more babies than GBS does now, doesn't
>guarantee no GBS at delivery just because it was treated once.
>
>2)CDC - cult at 35-37 weeks
>pro - find GBS prior to labor in some
>con - doesn't help patients delivering before 35 weeks or before results
>back, doesn't guarantee no GBS at delivery just because it was treated
>once.
>
>3)American College of Obstetrics and Gynecology - treat high risk
>population - 1)preterm labor; 2)premature rupture of membranes; 3)known
>past GBS(+) regardless of when; 4)rupture of membranes longer than 18
>hours; 5)temperature elevation in labor;
>
>These 5 criteria have worked better than the recommendations above from
>the AAP and CDC, saving more babies and injuring less with unnecessary
>antibiotic therapy that can, as noted above, cause resistant strains
>that can kill more babies than are now even affected by GBS.
>
>Hope this answers your questions.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**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 emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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