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Re: Infection
From: Amy (anonymous@obgyn.net)
Fri, 23 Jun 2000 15:53:20 -0500 (CDT)
>From what I understand, ideally antibiotics should be given for at least
4 hours during labor and delivery, but they have been shown to be
effective after only 30 minutes. I believe you will have an I.V. with
antibiotics the whole time you are in labor. (That's what my doctor
told me!) The risks of giving GBS to your newborn is EXTREMELY small,
but if they feel like he is at risk or if he contracts it anyway, they
will treat him with antibiotics after delivery. I have heard that in
some practices they give newborns born to mothers w/GBS antibiotics upon
delivery. I don't think this is universal, but more used as a
safeguard. I'm sure some of the doctors here will know more.
My advice is to address your concerns with the doctor who will be
delivering your baby. S/he is the one who will be making the decisions
about I.V.s and antibiotic dosages. I know every practice and every
hospital have different policies. How much better to know what your
doctor and hospital do before the time comes. Good Luck!
At Fri, 23 Jun 2000, sharon wrote:
>
>At Thu, 22 Jun 2000, sharon wrote:
>>
>>How much time will the antibiotics be given duing labor and >>how soon is it effective and what if I deliver quickly and there is not
>>enough time for ample amount of antibiotic to be absorbed .How much chances are there that the infection can cause harm to the baby inspite of giving antibiotics.The doctor told me to take 500mg of ampicillin 4 times ad ay for at least 5 days. Also they will give me IV at the time of delivery.Will the oral antibiotic itself not be sufficient.
>>
>>At Thu, 22 Jun 2000, Harvey S. Marchbein, M.D. wrote:
>>>
>>>At Thu, 22 Jun 2000, sharon wrote:
>>>>
>>>>Why is oral medication not preferred and IV antibiotics are preferred
>>>>during labor.
>>>
>>>Ability to absorb through the gastointestinal tract is markedly
>>>decreased during labor.
>>>
>>>>Are there any specific reasons .Also my question Is it safe
>>>>to take such a high dosage of ampicillin (500 mg 4 times a day for 10
>>>>days)for the baby is stil not answered.
>>>
>>>Yes.
>>>
>>>HSM
>>>
>>>>At Thu, 22 Jun 2000, Claudia Twisdale RN wrote:
>>>>>
>>>>>I realize that the debate on group B strep rages on, to test and treat,
>>>>>or to wait and see. As most of the Docs here say it usually is harmless
>>>>>to all involved. BUT having worked with a couple of babies that
>>>>>"crashed" from group b strep infection and had multiple problems, I
>>>>>think screening is a wise choice. (Sorry Docs)
>>>>>
>>>>>At Wed, 21 Jun 2000, jwang, M.D. wrote:
>>>>>>
>>>>>>Group B strep is causing a lot of headaches for everyone. Unfortunately,
>>>>>>there is a hysteria going on about this bacteria. First, GBS is
>>>>>>considered a colonization - meaning that for healthy people, it is a
>>>>>>normal bacteria in their system. About 30% of women have GBS. During
>>>>>>pregancy, GBS is treated if there is found in the bladder by urine
>>>>>>culture. Otherwise it is treated if there is preterm labor.
>>>>>>There are two ways to manage GBS. One protocol involves NOT doing
>>>>>>screening cultures on all pregnant patients, but only treat with
>>>>>>antibiotics for certain risk factors during labor. The other protocol
>>>>>>screens all pregnant women near term and then all women testing positive
>>>>>>for GBS are treated with antibiotics during labor.
>>>>>>
>>>>>>The actual infection rate of neewborns with GBS is small. The serious
>>>>>>infection rate is even smaller. Though some babies have died from
>>>>>>overwhelming infection, the numbers are very, very small.
>>>>>>
>>>>>>If you are positive for GBS, Amy is right, oral treatment for GBS is NOT
>>>>>>standard of care, treatment during labor is. One reason to give you
>>>>>>oral antibiotics is if you have fast labors, and your cervix is starting
>>>>>>to dilate. In such a case, there may not be enough time to adequately
>>>>>>treat with antibiotics when labor kicks in. Be sure to ask your doc
>>>>>>about the treatment. Ask her to review the CDC protocol again, better
>>>>>>yet, the ACOG recommendations.
>>>>>>
>>>>>>At Wed, 21 Jun 2000, sharon wrote:
>>>>>>>
>>>>>>>At Wed, 21 Jun 2000, sharon wrote:
>>>>>>>>
>>>>>>>>Hi,
>>>>>>>>I am 37 weeks pregnant,just entered into my 38 week.In my 36 week I went
>>>>>>>>for the internal examination .Couple of days back the doctor said that
>>>>>>>>Group B Septra of vagina that she did during internal examination came
>>>>>>>>out positive and this infection should be cleared before I deliver since
>>>>>>>>it could be dangerous to the baby. She has told me to take ampicillin
>>>>>>>>500mg 4 times a day for 10 days.My questions are
>>>>>>>>1.Is this infection harmful to the baby till I deliver.
>>>>>>>>2.Is it harmful to the baby at the time of delivery.
>>>>>>>>6.What way is it harmful to the baby if passed to the baby.
>>>>>>>>3.What if this infection is not cleared and I have to deliver all of
>>>>>>>>sudden since I have already entered into my 38 week and I have just
>>>>>>>>completed 1 day course.
>>>>>>>>4 .Is it safe to take such a high dosage of ampicillin for the baby and
>>>>>>>>that also for such a lo0ng time.
>>>>>>>>5.what could be the possible side effects of the medicine.
>>>>>>>>
>>>>>>>>Thanks
>>>>>>
>>>>>>--
>>>>>>J Wang, M.D
>>>>>>Assitant Clinical Prof.
>>>>>>Tufts University School of Medicine
>>>>>>
>>>>>>>**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.>
>>>>>>
>>>--
>>>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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