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Re: Group B Strep and Antibiotic treatmentsFrom: James Connerth MD (anonymous@obgyn.net)Wed, 27 May 1998 22:45:51 -0500 (CDT)
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.
>
-- JConnerth md facog
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