Hoi Leanne,
We have a good leaflet of the Netherlands that explains very well the
problem with GBS. Their recommandations are not to screen routinaly, but
just in  cases:
- premature rupture of membranes
- rupture of membranes more than 24 hours before established labor
- several urinary tract infections during this pregnancy, caused by GBS
- fever during labor
- previous child that suffered from an infection with GBS at birth.
Also in those cases AB is not routinely given, but evaluated.
The hospitals here are not giving these info, they nearly all do routine
controle on GBS and when positive they give AB during labor, without asking
the parents. They just state that it would kill the baby if not.


We handle in all pregnancys and births the same:
- no vaginal check ups unless a real reason
- no rupturing of the membranes
- birth at the tempo of the mothers body
- undisturbed contact of baby and mother during at least 1,5 h after birth
en so
- undisturbed start of breastfeeding
- not cutting the cord before the pulsations stopped
- next days observation of the baby in his mothers arms

I think that is a better prevention for illness than giving Ab and than have
the right to not respect the birthing process.
We explain all this to the parents during pregnancy and they can choose what
they want, but I will not administre AB at home.

greetings
Lieve



----- Original Message ----- 
From: "leanne wynne" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, October 05, 2004 5:16 AM
Subject: [ozmidwifery] group B strep


> Hi All,
> I am interested to hear what those midwives who attend homebirths do in
> regard to group B strep. Do you screen for it or not? If you know a woman
is
> GBS positive do you give A/Bs to the mother during labour or just observe
> the baby?
> Thanks,
> Leanne.
>
> Leanne Wynne
> Midwife in charge of "Women's Business"
> Mildura Aboriginal Health Service  Mob 0418 371862
>
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