RE: [ozmidwifery] group B strep
Thanks Mary, I'll look into that :) -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] group B strep
Did you get a reply for this? Maybe I missed it. The website for RCOG in the UK has the policy for Strep B which is very rational and balanced; The Centre for Disease Control in the USA, where Australia takes its lead is very extensive and requires close reading; Just google Strep b etc and you will be inundated, but read the UK policy for balance. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Kristin Beckedahl Sent: Sunday, 23 April 2006 7:45 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] group B strep Can anyone offer some recent stats/links/articles on Group B Strep and the effectiveness of antibiotics for it during labour...many thanks... -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] group B strep
I gorgot to say that going to the original research papers is very enlightening. The devil is in the detail.MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Kristin Beckedahl Sent: Sunday, 23 April 2006 7:45 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] group B strep Can anyone offer some recent stats/links/articles on Group B Strep and the effectiveness of antibiotics for it during labour...many thanks... -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Group B strep screening - some useful Australian links
-- Original message -- The first two links below contain easy to follow algorithms used by the RWH Melbourne for both screening antenates and treatment of Group B strep in neonates and form part of their online Clinical Practice Guidelines available to all. The third link is a statement by the RANZCOG on GBS screening including their recommended swab collection technique.It is a simple diagram for use by the women and recommends collection of a low vaginal and anal swab which apparently increases the positive result by 25%. I believe this technique is used for swab collection at Belmont Birth Centre NSW (correct me if I am wrong) which isone of the few midwifery led birth centres in Australia and has only been opened since July last year. (I would trust they have done their homework on this one). http://www.rwh.org.au/rwhcpg/maternity.cfm?doc_id=3024 http://www.rwh.org.au/rwhcpg/neonatal.cfm?doc_id=3798 http://www.ranzcog.edu.au/publications/statements/C-obs19.pdf I tried to include the diagrams in this email but they don't seem to have come through. Anyway, that's just some more info to add to the debate. Helen Cahill
RE: [ozmidwifery] group b strep in breastmilk
Since GBS is not passed through breast milk, patients should be advised that breast-feeding can give the baby important antibodies and other factors to help protect the baby from infection. Additionally, routine hand washing is always advised in handling any newborn to reduce the number of germs. http://oblink.com/display.asp?page=articles_pretermlabor_gbs_part1 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Elizabeth and Mark Bryant Sent: Thursday, November 03, 2005 12:58 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] group b strep in breastmilk Dear All, I am a long time reader first time writer... I am a student midwife currently working in special care nursery. We have had an 34 week boy with us for some time, quite unwell on and off despite antibiotic cover and cultures negative so far. Mum is keen breastfeeder and has been doing her utmost to get as much breastmilk into him as possible, however after exploring lots of options we cultured her breastmilk and it came back positive for group b strep. Just wondering if anyone had had any experience with this, or knew what the chances of long term breastfeeding were like??? Liz -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group b strep in breastmilk
Hi, I am an LC (not a midwife) at a hospital, but we had a case of a mother with group b strep, but the baby was healthy and full term, showing no symptoms, so given that until we did the test the baby had been having her milk without problems, we sought advice and she continued to feed. What advice has the mother been given? How does she feel about it? If she has a good milk supply, and can keep it up through pumping, even if she can't feed it to her baby there should be no reason that she can't recommence breastfeeding (assuming that she has been told her milk can't be fed to her baby at the moment - and I think most medical advice would be to cease breastfeeding temporarily) Breastfeeding is a hardy process. But it would be an emotional body blow to think that something as fabulous as breastmilk was causing problems for your baby. She would need a lot of encouragement and support. It would be good to suggest she hire a breastpump through the Australian Breastfeeding Association. As well as the pump (which is discounted for members) you get an absolute wealth of great knowledge and genuine empathy and mother to mother support. Vital in the good times, but invaluable in the tough times Barb [EMAIL PROTECTED] - Original Message - From: Elizabeth and Mark Bryant [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 03, 2005 10:57 PM Subject: [ozmidwifery] group b strep in breastmilk Dear All, I am a long time reader first time writer... I am a student midwife currently working in special care nursery. We have had an 34 week boy with us for some time, quite unwell on and off despite antibiotic cover and cultures negative so far. Mum is keen breastfeeder and has been doing her utmost to get as much breastmilk into him as possible, however after exploring lots of options we cultured her breastmilk and it came back positive for group b strep. Just wondering if anyone had had any experience with this, or knew what the chances of long term breastfeeding were like??? Liz -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
Yes, interesting! I also checked the National Institute for Clinical Excellence antenatal guidelines in the UK and they state: Pregnant women should not be offered routine antenatal screening for group B streptococcus (GBS) becasue evidence of its clinical effectiveness and cost effectiveness remains uncertain. I note that they say the same thing about routinely screening for gestational diabetes. Leanne. From: Elissa and David [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Sun, 9 Jul 2000 10:10:37 +1000 You might find the RCOG , UK guidelines for the management of group b strep , of interest .I think section 9.2 covers the scenario you describe , they suggest that antibiotic use should be considered but do not recommend that it should be offered .The guidelines also discuss the risks to mother and baby of intrapartum antibiotic prophylaxis .It can be accessed in full at http://www.rcog.org.uk/guidelines.asp?PageID=106 under Group B Streptococcal Disease ,Prevention of Early Onset Neonatal(36) - November 2003 . Cheers, David - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 06, 2004 10:12 AM Subject: Re: [ozmidwifery] group B strep Thanks Belinda and Lieve for your replies. I will explain why I asked the question. In Victoria the 3Centres Consensus Guidelines recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive. Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition. However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arrival the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal. The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do. Thanks, Leanne. From: Lieve Huybrechts [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Tue, 5 Oct 2004 09:04:49 +0200 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE
Re: [ozmidwifery] group B strep 3 centres
Take a look at the 3 centres guidelines @ http://www.dhs.vic.gov.au/ahs/quality/effect.htm(do a google search if it's not still @ that website) The 3 centres are Melbourne's RWH, Mercy Hospital for Women, Monash Medical Centre (the 3 tertiary centres for maternity care in Vic). They actuallyrecommend a CHOICE for screening of GBS: "Prevention strategies for GBS should be included in routine antenatal care using either risk-based or bacteriological screening strategies, or both." Risk based being monitoring for infection (Mo temp, status of membranes, Bo temp, etc) They go on to state: "Intrapartum antibiotics are recommended for pre-term birth 37 weeks, rupture of membranes 18 hours prior to delivery, maternal temperature=38C during labour, previous GBS colonisation, GBS bacteriuria or previous infant with GBS." Sounds like a beautiful birth great outcome. Jenleanne wynne [EMAIL PROTECTED] wrote: Thanks Belinda and Lieve for your replies.I will explain why I asked the question.In Victoria the "3Centres Consensus Guidelines" recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive.Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition.However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arriv! al the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal.The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do.Thanks,Leanne. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] group B strep
Hoi Leanne, I think we would get the same reaction in here, but we get the same rection also when they hear we let the cord intact until pulsation stops, because we don't rupture mambranes, we give only vit K on demand of the parents, we don't usualy do vaginal check ups. We are a real danger :-)) Lieve - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 06, 2004 2:12 AM Subject: Re: [ozmidwifery] group B strep Thanks Belinda and Lieve for your replies. I will explain why I asked the question. In Victoria the 3Centres Consensus Guidelines recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive. Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition. However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arrival the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal. The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do. Thanks, Leanne. From: Lieve Huybrechts [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Tue, 5 Oct 2004 09:04:49 +0200 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862. _ Searching for that dream home? Try http://ninemsn.realestate.com.au for all your property needs. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
Hoi Kim, I am a flemish midwife in Belgium and I take the good things that I can use from the Netherlands. I have a homebirth practice since 6 years after being a hospital midwife for nearly 20 years.I live about 30 km from the border with the Netherlands and we speak the same language. There are a lot of differences between a home practice in the netherlands and in Belgium. Be sure, I learned a lot from this list , I don't think you have to look so far as the Netherlands for you to learn what you need as a midwife, doula or mother. If you want to know more about my practice, I will be glad to tell about it. warm greetings Lieve - Original Message - From: Kim Stead To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 11:19 AM Subject: Re: [ozmidwifery] group B strep Hi Lieve I would love to hear more about your practices in the Netherlands. I am sure we could learn a lot!! Kiwi Kim ---Original Message--- From: [EMAIL PROTECTED] Date: 5/10/2004 6:41:06 p.m. To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep 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 incases: - 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 ServiceMob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
You might find the RCOG , UK guidelines for the management of group b strep , of interest .I think section 9.2 covers the scenario you describe , they suggest that antibiotic use should be considered but do not recommend that it should be offered .The guidelines also discuss the risks to mother and baby of intrapartum antibiotic prophylaxis .It can be accessed in full at http://www.rcog.org.uk/guidelines.asp?PageID=106 under Group B Streptococcal Disease ,Prevention of Early Onset Neonatal(36) - November 2003 . Cheers, David - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 06, 2004 10:12 AM Subject: Re: [ozmidwifery] group B strep Thanks Belinda and Lieve for your replies. I will explain why I asked the question. In Victoria the 3Centres Consensus Guidelines recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive. Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition. However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arrival the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal. The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do. Thanks, Leanne. From: Lieve Huybrechts [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Tue, 5 Oct 2004 09:04:49 +0200 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862. _ Searching for that dream home? Try http://ninemsn.realestate.com.au for all your property needs. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe
RE: [ozmidwifery] group B strep
In addition to Leanne's question re homebirth and Group B Strep, do Birth Centres in Aust (particularly Qld) routinely screen and treat as well. If yes and the women refuse are they denied birth centre care? Cheers Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Tuesday, October 05, 2004 1:17 PM To: [EMAIL PROTECTED] 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
Hi Lieve I would love to hear more about your practices in the Netherlands. I am sure we could learn a lot!! Kiwi Kim ---Original Message--- From: [EMAIL PROTECTED] Date: 5/10/2004 6:41:06 p.m. To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep 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 incases: - 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 ServiceMob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
Thanks Belinda and Lieve for your replies. I will explain why I asked the question. In Victoria the 3Centres Consensus Guidelines recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive. Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition. However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arrival the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal. The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do. Thanks, Leanne. From: Lieve Huybrechts [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Tue, 5 Oct 2004 09:04:49 +0200 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862. _ Searching for that dream home? Try http://ninemsn.realestate.com.au for all your property needs. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep
I do not screen women unless they want me to, but then no one has wanted me to after we have discussed the literature. If there is no prolonged rupture of membranes or problems I don't do anything in particular, I believe the best person to observe the baby is the mother who stares at her/him for hours anyway. I make sure the baby feeds well. That is it really all Belinda - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 12:46 PM 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 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
