|
Nicola,
Have you asked whether you could have the
antibiotics given via a butterfly needle rather than have a cannula, we give
women this choice if they choose to have antibiotics. We also give women
the choice of reswabbing if they want as strep b is transient and may not be
around at the time of birth. Most women are just happy to go with the
antibiotics and not make a choice. It is lovely to hear you asking
questions and challenging the system.
Sonja
----- Original Message -----
Sent: Tuesday, November 08, 2005 3:17
PM
Subject: RE: [ozmidwifery] Strep B
screening
Can
I ask a personal question on this one? Last birth (January 2003, Gosford
Hospital Community Midwives) I was given intravenous antibiotics
automatically because I had been StrpB positive in the previous pregnancy. I
wasn't retested. I am pregnant again - will I be automatically assumed to have
Strep B again? will I be tested again? Is it even possible to be clear now
even if I have been Strep B positive in the past or am I hoping in vain to
avoid the treatment? It only bothers me because I like to spend a LOT of
labour on my hands and knees and I found the drip in my hand very
uncomfortable. If it is inevitable to have them again, what is the best plan
of action? To stay home as long as possible? To ask for the drip in my forearm
instead of the back of my hand? Any other suggestions. I will of course talk
about it with the midwives when I book in next week, but just wondering in the
meantime, seeing the topic has come up here!
Nicola Morley
Trainee Doula
Current recommendations in Vic are to offer
screening at 35-37 weeks per the CDC evidence. It does appear to be the best
available evidence, far better than the risk-based approach of administering
IV ABS to a select group of women considered to be 'at-risk'. Women
are unlikely to change their status within a month, therefore with screening
only those women who test GBS +ve will be offered IV ABs intrapartum to
prevent early onset (within the first week of life) GBS pneumonia in the
neonate. Also surface swabbing and collection of gastric asp on neonates is
a waste of time, the baby will be sick with GBS well before the results of
any swabs are available. Many years ago I saw a baby become ill &
subsequently die of GBS pneumonia. The baby was term & perfectly welll
at birth, within an hour of birth started having apnoeic attacks and four
hours later was shocked & gravely ill. The Vic guidelines are currently
under review but you can check the site below:
Jenny
Jennifer Cameron FRCNA FACM
President NT branch ACMI
PO Box
1465
Howard Springs NT 0835
08 8983 1926
0419 528 717
----- Original Message -----
Sent: Monday, November 07, 2005 8:17
PM
Subject: Re: [ozmidwifery] Strep B
screening
With respect Jenny,
Im not sure that too many of the
recommendations out of the good old U.S of A could be described as 'best
practice'.
Here is the NSW directive, it does however,
also refer to the CDC guidelines
At our unit we do not routinely swab, we take
the risk factor approach,but if it appears in MSU or on a swab done for
other reasons we then require our women to birth at Gosford where there
are paediatricians they can transfer back after 24-48 hrs
Cheers
Di
----- Original Message -----
Sent: Sunday, November 06, 2005
4:52 PM
Subject: Re: [ozmidwifery] Strep B
screening
Curent best practice is to offer screening
for GBS at 35-37 weeks. See site below:
Jenny
Jennifer Cameron FRCNA FACM
President NT branch ACMI
PO Box
1465
Howard Springs NT 0835
08 8983 1926
0419 528 717
----- Original Message -----
Sent: Friday, November 04, 2005
6:47 PM
Subject: [ozmidwifery] Strep B
screening
I have been told by a
pregnant woman that she was reluctant to have a strep B test at 35-37
weeks. She was informed by a doctor in the A/N clinic of our public
tertiary hospital, that if she went into labour with an unknown
status and attended the delivery suite , her baby would have to be
given IMI antibiotics until the babys screening swabs came back 48hrs
later. She felt that to protect the baby, she had to consent to
A/N screening. Those who recognize the description of this
hospital, is that true? Or has this lady been unintentionally
misled? Does this happen in any other hospitals? Feel free
to email me off line if you dont want to speak publicly. Thanks, MM
Internal Virus Database is out-of-date.
Checked by AVG
Anti-Virus.
Version: 7.0.344 / Virus Database: 267.11.9/70 -
Release Date: 29/09/2005
Internal Virus Database is out-of-date.
Checked by AVG
Anti-Virus.
Version: 7.0.344 / Virus Database: 267.11.9/70 - Release
Date: 29/09/2005
|
