WOMENS-HEALTH Messages for May, 1998: Re: Group B Strep and Antibiotic treatments

Re: Group B Strep and Antibiotic treatments

From: James Connerth MD (anonymous@obgyn.net)
Wed, 27 May 1998 22:45:51 -0500 (CDT)

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In reply to: Erin: "Group B Strep and Antibiotic treatments"

At Wed, 27 May 1998, Erin wrote: >
>I have some questions about group B Strep. I am allergic to several
>antibiotics, including Penicillan, Erythromiacin, and Sulfa. Are there
>any other antibiotics that can be given during labor to prevent GBS
>disese? Cleocin(clindamycin)used for pen.allergic moms.
>
>I gave birth to my first child in England, where woman are not routinely
>tested for GBS. I had PROM at 37 weeks and after a 24 hour wait and see
>period and a lengthy induction, I gave birth to my daughter almost 40
>hours later. The doctors did an internal and took some tests when I
>first arrived at the hospital, but I was never told the results. I was
>not given antibiotics during my labor. My daughter was given
>prophylactic antibiotics after birth, but her cultures came back
>negative. She did "grunt" for an hour after birth and was a bit blue
>looking, but I think this may have been due to the fact that I had a
>very prolonged second stage of labor and she needed to be delivered by
>venteuse.SOUNDS LIKE A CORRECT ASSUMPTION>SEVEN
>
>Here is where things get confusing. We moved back to NYC when my
>daughter was 7 months old. Several days after our arrival I became very
>ill will an intensely sore throat. The doctor told me that I had some
>how managed to contract Group B Strep in my throat. I took cypro which
>cleared it up quickly.
>
>Here is my second question: Could the same Goup B Strep infection which
>made me so ill after the birth of my daughter have also cause the PROM
>during my pregnancy?SEVEN MONTHS LATER?--UNLIKELY>
>
>I would like to become pregnant with a second child soon and will be
>scheduling a pre-conception check up with my new obgyn. However, I
>would like to be more informed about my situation before the
>appointment. Any answers or advice which you can give me would be
>greatly appreciated.
>
>Thank you,
>WE USUALLY DO CULTURES IN US AROUND 37 WEEKS--WITH YOUR

HISTORY,WOULD CULTURE EARLIER.SECOND BABY USUALLY SHORTER, "EASIER" LABOR. >
>--
>Erin Post
>

--
JConnerth md facog

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