WOMENS-HEALTH Messages for December, 1997: Re: GBS Death

Re: GBS Death

From: Kelly (anonymous@obgyn.net)
Tue, 30 Dec 1997 22:43:47 -0600 (CST)

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In reply to: Nancy: "GBS Death"

At Tue, 30 Dec 1997, Nancy wrote: >
>My first child was born this past year and only lived 2 days
>because of complications from group b strep. I was 41 weeks pregnant
>and had a bout of false labor one week earlier.
>When I went into labor for real I already had a fever from the
>infection. It seemed to have gotten to her without the water breaking.
>My doctor says it would be ok to try to get pregnant again and he would
>watch me like a hawk and has an antibiotic plan and a c-section planned
>on my 38th week.
>I did have antibiotic treatment in my last labor and the more I have
>found out about GBS the more I think the doctors
>acted correctly in their judgement of my last case.
>I was wondering if anybody has an opinion on the chances of a good
>outcome of another pregnancy for me.
>My baby was born in September and I am now getting ready to try again.
>I am working closely with my doctor and know that these will only be
>opinions and not take it as medical fact in my personal case.
>Thank you for your time.
>Nancy....

Nancy

Please accept my condolences for the death of your baby -- I can't even image the pain you feel.

It is fairly likely that you are colonized with group B strep -- taht means you carry it but are not infected yourself. If you are treated with antibiotics, it is likely the strep will return. The recommendations of ACOG and the CDC are to treat during labor -- if you have an elective c-section, you should receive antibiotics before hand. Discuss with the pediatrician ahead of time whether the baby will get prophylactic treatment until cultures are back a couple of days after birth.

Best wishes for conception, and easy delivery and a healthy child.

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: missy: "Re: pain in ovaries..."
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