Re: [ozmidwifery] Strep B
This is fairly close to what happens at our hospital also. Cheers Judy --- [EMAIL PROTECTED] [EMAIL PROTECTED] wrote: Here at our local hospital of approx 530 births per annum we do not routinely screen all pregnant women. We offer (with a fair degree of pressure, I might add) IV antibiotics in labour of a woman has had Pre-labour ruptured membres for 18 hours or if she is in preterm labour 37 weeks or if she has a history of previous baby with GBS infection or previous GBS positive herself ( say for example on a past history from birth elsewhere with a previous baby) If a baby is born before antibiotics are able to be administered or a woman declines antibiotics we observe the baby for any signs of infection. That is what happens here Personally I am not in favour of routine GBS testing. Good luck. - Original Message - From: nunyara To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 09, 2007 12:49 PM Subject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all - silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.7/619 - Release Date: 1/7/2007 Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Strep B
jassy, I too had the test - purely out of curiosity as I didnt plan on having the AB. I came back positive but declined any treatment in labour. Labour was quick anyway - 4.5hours, and bub was fine. I think they did take an ear or nasal swab (?not sure?) but I heard nothing again of it. I birthed at KEMH Birth Centre, Perth. kristin CBE Naturopath From: "Roberta Quinn" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Strep BDate: Tue, 9 Jan 2007 11:55:44 +0900 Hi Jassy, I don't know from a midwive's point-of-view but I'm 32 weeks pregnant and have decided against the test. Like you, I first made the decision against antibiotics and then made the decision not to have the test. My decision was also swayed by a friend living in the UK who tells me it's not a routine test therelike it is here, which I find so interesting. My midwife and I will simply monitor my baby closely for any signs of ill-health, which some have argued to me is what we should do anyway and not rely on antibiotics as a cure-all. Good luck with your decision. From Roberta. From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of nunyaraSent: Tuesday, 9 January 2007 10:49 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwifes on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didnt with my first child, in fact I dont even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards JassyAdvertisement: House hunt online now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] Strep B
I donot believe it's necessary. I have never been tested and have four babies. The thing is, you can be negative at the time of the test, and positive two days later. The swab does not detect ALL positive cases. As you are allergic to AB's you can't have them anyway, and I would be reluctant to let my baby have them without some signs of infection. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of nunyara Sent: Tuesday, 9 January 2007 12:49 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all - silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy
RE: [ozmidwifery] Strep B
Hi Jassy, I don't know from a midwive's point-of-view but I'm 32 weeks pregnant and have decided against the test. Like you, I first made the decision against antibiotics and then made the decision not to have the test. My decision was also swayed by a friend living in the UK who tells me it's not a routine test there like it is here, which I find so interesting. My midwife and I will simply monitor my baby closely for any signs of ill-health, which some have argued to me is what we should do anyway and not rely on antibiotics as a cure-all. Good luck with your decision. From Roberta. _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of nunyara Sent: Tuesday, 9 January 2007 10:49 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all - silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy
Re: [ozmidwifery] Strep B
Here at our local hospital of approx 530 births per annum we do not routinely screen all pregnant women. We offer (with a fair degree of pressure, I might add) IV antibiotics in labour of a woman has had Pre-labour ruptured membres for 18 hours or if she is in preterm labour 37 weeks or if she has a history of previous baby with GBS infection or previous GBS positive herself ( say for example on a past history from birth elsewhere with a previous baby) If a baby is born before antibiotics are able to be administered or a woman declines antibiotics we observe the baby for any signs of infection. That is what happens here Personally I am not in favour of routine GBS testing. Good luck. - Original Message - From: nunyara To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 09, 2007 12:49 PM Subject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all - silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.7/619 - Release Date: 1/7/2007
Re: [ozmidwifery] Strep B
Jassy - last time this discussion was on this list, I wrote a little on it at my blog (http://midwiferyiscatching.blogsome.com/2006/12/06/antibiotics-and-gbs-and-birth-oh-my/) to give you some ideas. In your case - I'd consider using antibiotics for a maybe situation when you are so allergic to some types already, to be opening you up to a huge risk of allergic reactions... Em On 1/9/07, nunyara [EMAIL PROTECTED] wrote: Hi all, I know info on this topic has been posted before but I deleted it all – silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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
Re: [ozmidwifery] Strep B screening
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: http://www.3centres.com.au/ Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: diane To: ozmidwifery@acegraphics.com.au 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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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
RE: [ozmidwifery] Strep B screening
Title: Message 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 -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jenny CameronSent: Tuesday, November 08, 2005 12:23 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Strep B screening 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: http://www.3centres.com.au/ Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: diane To: ozmidwifery@acegraphics.com.au 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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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
RE: [ozmidwifery] Strep B screening
Hi Nicola, You just need to ask to have another low vaginal swab at around 36 weeks gestation. It is possible that you will be negative this time. Yes you could request that the doctor put the IV cannula somewhere less uncomfortable. Also remember that you do have the option of refusing the antibiotics if you wish. Years ago all the midwives did, if Mum was GBS positive, was monitor the baby's temperature and then treat the baby symtomatically if necessary. All the best, Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: Nicola Morley [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Strep B screening Date: Tue, 8 Nov 2005 15:17:25 +1100 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 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jenny Cameron Sent: Tuesday, November 08, 2005 12:23 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Strep B screening 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: http://www.3centres.com.au/ Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: diane mailto:[EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au 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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny mailto:[EMAIL PROTECTED] Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: Mary mailto:[EMAIL PROTECTED] Murphy To: ozmidwifery@acegraphics.com.au 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 baby's 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
RE: [ozmidwifery] Strep B screening
Title: Message The international guidelines (Center of Disease control, USA) say that each pregnancy is to be treated separately unless you previously had a strep B positive baby. Even then, while it is in the guidelines, it is bit of guesswork as to whether you will be positive in the present pregnancy. So, test each pregnancy and if neg, no need to have IV Abs. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Nicola Morley Sent: Tuesday, 8 November 2005 12:17 PM To: ozmidwifery@acegraphics.com.au 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 -Original Message- From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Jenny Cameron Sent: Tuesday, November 08, 2005 12:23 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Strep B screening 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: http://www.3centres.com.au/ Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: diane To: ozmidwifery@acegraphics.com.au 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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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
Re: [ozmidwifery] Strep B screening
Title: Message Hi, This is a great question. There are choices for you here. You could ask for a further vaginal swab for GBS to check your status at the end of your pregnancy. And if you test positive you could decide whether or not you wanted antibiotics at all. They can only insert an IV and administer antibiotics if you let them. OR you could decide that you don't really want to know your status and refuse antibiotics. OR you could just take the antibiotics on your previous positive result. The main thing is you do actually have a choice in this. Your body your baby your birth. All the guidelines for antibiotics are made up from the current available evidence. Below is taken from the Cochrane report, a review of available information. As you can see at best it is quite ropey and even though they saw a reduction in infection there was no change in neonatal mortality. I am a British midwife and until I came here to work I didn't see anyone tested for GBS or an infected baby.(I have been a midwife since 1988) The best thing you could do is check the evidence for yourself. Not the guidelines but the evidence that the guidelines are made up of then make a decision of how you want your labour to be. Lisa COCHRANE REPORT Five trials were included. Overall quality was poor, with potential selection bias in all the identified studies. Intrapartum antibiotic treatment reduced the rate of infant colonization (odds ratio 0.10, 95% confidence interval 0.07 to 0.14) and early onset neonatal infection with group B streptococcus (odds ratio 0.17, 95% confidence interval 0.07 to 0.39). A difference in neonatal mortality was not seen (odds ratio 0.12, 95% confidence interval 0.01 to 2.00). Authors' conclusions Intrapartum antibiotic treatment of women colonized with group B streptococcus appears to reduce neonatal infection. Effective strategies to detect maternal colonization with group B streptococcus and better data on maternal risk factors for neonatal group B streptococcus infection in different populations are required.
Re: [ozmidwifery] Strep B screening
Nicola wrote: 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! When you were GBS positive, was it a uninary or vaginal infection? Urinary is more serious because it is a systemic infection while vaginal colonisation can be transient. If it was vaginal you would be within your rights to request re testing before treatment. Of course you can decline testing and treatment if you want to. If IV antibiotics are recommended and you're OK with it you could specify that you want to cannula in your forearm rather than the back of your hand and have it bunged and covered so it's less likely to catch on stuff. You shouldn't need a fluid line as benzyl penicillin (AB of choice) can be given by IV push. Jenny wrote: 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. I have seen the same, perfectly well breast feeding baby, dead six hours later from fulminating GBS meningitis. It is sobering to realise what can happen. Monica -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Strep B screening
Title: Message 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 - From: Nicola Morley To: ozmidwifery@acegraphics.com.au 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 -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jenny CameronSent: Tuesday, November 08, 2005 12:23 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Strep B screening 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: http://www.3centres.com.au/ Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: diane To: ozmidwifery@acegraphics.com.au 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 http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_240.pdf 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 - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au 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: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Friday, November 04, 2005 6:47 PM Subject: [ozmidwifery] Strep B screening I have been told
Re: [ozmidwifery] Strep B screening
I also have some suggestions from hb MWs in the US on alternative ways to deal with a +ve result. If you're interested email me : ) J - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, November 04, 2005 11:39 PM Subject: RE: [ozmidwifery] Strep B screening Here I go with links again :) : http://www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html and some comments at: http://www.findarticles.com/p/articles/mi_m0838/is_123/ai_114242270 Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Friday, November 04, 2005 1:22 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Strep B screening Here in Belgium is the same rule, with unknown status they start AB in labour. When labour goes to fast they will preventive give ab to the baby. Also with a positive test the mother has no choice and will have AB in labour. When the profylaxy is not compleet, the baby goes to neonatal ward and gets AB. A few weeks ago I had a discussion with a pediatrician. Mother laboured at home and wanted to give birth in hospital. Last visit the gyn told her she was pos on GBS and she would have AB in labour. She discussed it with the GP who is also homeopath and he said she could refuse the AB. She asked me in early labour and I said yes, you can, but then your baby will be under attack :-) I adviced her to call the pediatrician to ask for the protocols. I left them to decide what to do and went home. Within half an hour I had a very angry pediatrician on the line. She didn't want to discuss the thing but just to push her view on us. I told her that she could find the info I gave to the mother on their own website of obs and gyns. Her heaviest argument was that she studied in a university hospital (Leuven) and therefor she knew :-) The mother gave birth at home greetings Lieve - Oorspronkelijk bericht - Van: Mary Murphy [mailto:[EMAIL PROTECTED] Verzonden: vrijdag, november 4, 2005 10:17 AM Aan: ozmidwifery@acegraphics.com.au Onderwerp: [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 baby's 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 don't want to speak publicly. Thanks, MM -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Strep B screening
Curent best practice is to offer screening for GBS at 35-37 weeks. See site below: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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
Re: [ozmidwifery] Strep B screening
This is an interesting thread for me. In the UK we never routinely swabbed women for GBS at any point in pregnancy. If they had symptoms of a vaginal infection they would have swabs taken. If they had SROM for 18hrs before labour they were offered IV AB regardless of GBS. If they had been found to have GBS in pregnancy they would be offered AB cover in labour and be advised to stay in hospital for 48hrs to observe baby. If I had the time and energy I would find out what the neonatal infection rates were. Rachel From: Jenny Cameron [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Strep B screening Date: Sun, 6 Nov 2005 15:22:30 +0930 Curent best practice is to offer screening for GBS at 35-37 weeks. See site below: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/groupbstrep_g.htm Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au 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 baby's 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 don't 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 _ MSN Messenger 7.5 is now out. Download it for FREE here. http://messenger.msn.co.uk -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Strep B screening
Hi Mary, I have heard this said to women by some Dr's, however not all. Usual practice is to do gastric aspirate ear swab on baby and check temps for 48 hours. And many women do refuse antibiotics for themselves and their babies - with encouragement from their midwives :) Sadie - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Friday, November 04, 2005 8:17 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
RE: [ozmidwifery] Strep B screening
Thanks Sadie, It is interesting that these procedures are being done when the woman is of unknown status because the guidelines from the Health dept say that Gastric aspirate and swabs only tell us about surface colonization. The majority of babies who are born to those women who are colonized are mostly not sick babies- 50-75% of babies are colonized but only 2% are infected. That is a lot of non symptomatic babies getting IMI antibiotics when they dont need them. Threatening to hurt their babies is an unethical way to get women to have a screening test. When will they learn to give accurate information to women so they can decide what tests they want? MM Hi Mary, I have heard this said to women by some Dr's, however not all. Usual practice is to do gastric aspirate ear swab on baby and check temps for 48 hours. And many women do refuse antibiotics for themselves and their babies - with encouragement from their midwives :) Sadie 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
RE: [ozmidwifery] Strep B screening
Dear Mary, If there are no high risk indications at time, we would monitor baby carefully ie regular temperatures and observation rather than straight into IM antibiotics. Barbara, Parkes -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Friday, 4 November 2005 8:18 PM To: ozmidwifery@acegraphics.com.au 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
RE: [ozmidwifery] Strep B screening
I was actually witness to a midwife (and I do use the term loosely in this instance) calling a young woman a selfish bitch for refusing to have antibiotics in labour, when she was of unknown GBS statusthis was 6 years ago at one of our centres of excellenceshame Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Friday, 4 November 2005 8:49 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Strep B screening Thanks Sadie, It is interesting that these procedures are being done when the woman is of unknown status because the guidelines from the Health dept say that Gastric aspirate and swabs only tell us about surface colonization. The majority of babies who are born to those women who are colonized are mostly not sick babies- 50-75% of babies are colonized but only 2% are infected. That is a lot of non symptomatic babies getting IMI antibiotics when they dont need them. Threatening to hurt their babies is an unethical way to get women to have a screening test. When will they learn to give accurate information to women so they can decide what tests they want? MM Hi Mary, I have heard this said to women by some Dr's, however not all. Usual practice is to do gastric aspirate ear swab on baby and check temps for 48 hours. And many women do refuse antibiotics for themselves and their babies - with encouragement from their midwives :) Sadie 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
Re: [ozmidwifery] Strep B screening
Here in Belgium is the same rule, with unknown status they start AB in labour. When labour goes to fast they will preventive give ab to the baby. Also with a positive test the mother has no choice and will have AB in labour. When the profylaxy is not compleet, the baby goes to neonatal ward and gets AB. A few weeks ago I had a discussion with a pediatrician. Mother laboured at home and wanted to give birth in hospital. Last visit the gyn told her she was pos on GBS and she would have AB in labour. She discussed it with the GP who is also homeopath and he said she could refuse the AB. She asked me in early labour and I said yes, you can, but then your baby will be under attack :-) I adviced her to call the pediatrician to ask for the protocols. I left them to decide what to do and went home. Within half an hour I had a very angry pediatrician on the line. She didn't want to discuss the thing but just to push her view on us. I told her that she could find the info I gave to the mother on their own website of obs and gyns. Her heaviest argument was that she studied in a university hospital (Leuven) and therefor she knew :-) The mother gave birth at home greetings Lieve - Oorspronkelijk bericht - Van: Mary Murphy [mailto:[EMAIL PROTECTED] Verzonden: vrijdag, november 4, 2005 10:17 AM Aan: ozmidwifery@acegraphics.com.au Onderwerp: [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 baby's 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 don't want to speak publicly. Thanks, MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Strep B screening
Here I go with links again :) : http://www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html and some comments at: http://www.findarticles.com/p/articles/mi_m0838/is_123/ai_114242270 Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Friday, November 04, 2005 1:22 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Strep B screening Here in Belgium is the same rule, with unknown status they start AB in labour. When labour goes to fast they will preventive give ab to the baby. Also with a positive test the mother has no choice and will have AB in labour. When the profylaxy is not compleet, the baby goes to neonatal ward and gets AB. A few weeks ago I had a discussion with a pediatrician. Mother laboured at home and wanted to give birth in hospital. Last visit the gyn told her she was pos on GBS and she would have AB in labour. She discussed it with the GP who is also homeopath and he said she could refuse the AB. She asked me in early labour and I said yes, you can, but then your baby will be under attack :-) I adviced her to call the pediatrician to ask for the protocols. I left them to decide what to do and went home. Within half an hour I had a very angry pediatrician on the line. She didn't want to discuss the thing but just to push her view on us. I told her that she could find the info I gave to the mother on their own website of obs and gyns. Her heaviest argument was that she studied in a university hospital (Leuven) and therefor she knew :-) The mother gave birth at home greetings Lieve - Oorspronkelijk bericht - Van: Mary Murphy [mailto:[EMAIL PROTECTED] Verzonden: vrijdag, november 4, 2005 10:17 AM Aan: ozmidwifery@acegraphics.com.au Onderwerp: [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 baby's 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 don't want to speak publicly. Thanks, MM -- 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] Strep B
My daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay in fir observation of bub. She was basically told the baby would die if she took her home. I said what rubbish. The last two places I have worked if mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours before the birth) then apart from the odd temp check we just observed bub. Unknown status was only worried about if the membranes ruptured 24 hours. Then IV antis offered. Given that the swab isn't 100% accurate and mum be negative for the swab and colonise a day later why bother scaring women? -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Robyn DempseySent: Friday, 4 November 2005 9:32 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep B I have had 2 cases this year where a woman chose not to have the strep B swabs done antenatally. For whatever reason we transferred from home to the hospital for birthing. The staff wanted her to have antibiotics because the step B statis was unknown. Both times the mothers refused. Both times the hospitals then swabbed the babies, said something along the lines of 'we have found 'something' unknown that could be strep b" they then recommended commencing 48hours of IV antibiotics until blood cultures can prove otherwise( that it is not Strep B). Because of the fear involved, the mothers chose to have the IV antibiotics for the bubs. Blood cultures came back on both babies negative for strep B. Scary as it is, I relate this story to my clients and let them decide if they want the strep B swab or notguess what they choose?? Sad huh Robyn Dempsey
RE: [ozmidwifery] Strep B
Where I work no-one is swabbed. If a woman is in labour for twelve hours she is commenced on IV antis without knowing her GBS status. There are no other interventions, unless labour is premature, when a HVS will be taken. It's interesting the variety of practises out there! I would prefer to swab women pre labour, and then we could do away with the IV antibiotics. An IV, even onethat is bunged off,is a pest to maintain in labour. Nicole. PS I have not seen a baby with clinical obvious Grp B strep in 5 years. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Ken WArdSent: Saturday, November 05, 2005 5:52 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Strep B My daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay in fir observation of bub. She was basically told the baby would die if she took her home. I said what rubbish. The last two places I have worked if mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours before the birth) then apart from the odd temp check we just observed bub. Unknown status was only worried about if the membranes ruptured 24 hours. Then IV antis offered. Given that the swab isn't 100% accurate and mum be negative for the swab and colonise a day later why bother scaring women? -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Robyn DempseySent: Friday, 4 November 2005 9:32 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep B I have had 2 cases this year where a woman chose not to have the strep B swabs done antenatally. For whatever reason we transferred from home to the hospital for birthing. The staff wanted her to have antibiotics because the step B statis was unknown. Both times the mothers refused. Both times the hospitals then swabbed the babies, said something along the lines of 'we have found 'something' unknown that could be strep b" they then recommended commencing 48hours of IV antibiotics until blood cultures can prove otherwise( that it is not Strep B). Because of the fear involved, the mothers chose to have the IV antibiotics for the bubs. Blood cultures came back on both babies negative for strep B. Scary as it is, I relate this story to my clients and let them decide if they want the strep B swab or notguess what they choose?? Sad huh Robyn Dempsey
RE: [ozmidwifery] Strep B
It seems most hospitals offer IV antibiotic cover in labour if membranes have ruptured for over 18hrs whether GBS or not. This is a particular bug-bear of mine. Firstly this is often not 'offered' but women are basically told this is what will be done. Secondly when women have had 2 doses of AB in labour the baby still has to have hourly obs for four hours, then four hourly obs for 24hrs. By doing this we are saying that the baby remains at risk of infection. Surely we should not be giving the AB if we don't trust them to prevent infection. I can't believe the amount of obs done on babies and the ridiculous reasons they are done. Babies are woken up to have a full set of obs done for any old excuse. So far I have never picked up a problem with a baby by doing obs. It is usually the mother who notices something is not right. Perhaps we should be explaining to mothers what is normal and encouraging them to let us know about any concerns rather than upsetting their baby every x amount of hours to put a cold stethoscope on its chest and shove a thermomether under its armpit. Rachel From: Nicole Carver [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Strep B Date: Sat, 5 Nov 2005 18:04:25 +1100 Where I work no-one is swabbed. If a woman is in labour for twelve hours she is commenced on IV antis without knowing her GBS status. There are no other interventions, unless labour is premature, when a HVS will be taken. It's interesting the variety of practises out there! I would prefer to swab women pre labour, and then we could do away with the IV antibiotics. An IV, even one that is bunged off, is a pest to maintain in labour. Nicole. PS I have not seen a baby with clinical obvious Grp B strep in 5 years. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ken WArd Sent: Saturday, November 05, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Strep B My daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay in fir observation of bub. She was basically told the baby would die if she took her home. I said what rubbish. The last two places I have worked if mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours before the birth) then apart from the odd temp check we just observed bub. Unknown status was only worried about if the membranes ruptured 24 hours. Then IV antis offered. Given that the swab isn't 100% accurate and mum be negative for the swab and colonise a day later why bother scaring women? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Robyn Dempsey Sent: Friday, 4 November 2005 9:32 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Strep B I have had 2 cases this year where a woman chose not to have the strep B swabs done antenatally. For whatever reason we transferred from home to the hospital for birthing. The staff wanted her to have antibiotics because the step B statis was unknown. Both times the mothers refused. Both times the hospitals then swabbed the babies, said something along the lines of 'we have found 'something' unknown that could be strep b they then recommended commencing 48hours of IV antibiotics until blood cultures can prove otherwise( that it is not Strep B). Because of the fear involved, the mothers chose to have the IV antibiotics for the bubs. Blood cultures came back on both babies negative for strep B. Scary as it is, I relate this story to my clients and let them decide if they want the strep B swab or notguess what they choose?? Sad huh Robyn Dempsey _ MSN Messenger 7.5 is now out. Download it for FREE here. http://messenger.msn.co.uk -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] strep B
Hello Trudy, In my homebirth practice I normaly only do tests for strep B when women have complains vaginally. I test for candida and strep B. It seems that they are going hand in hand. First I give them advice to get rid of the candida and most of the time the streps are done too. I give them advice to quit eating sugar, because the candida grows on that. They can take vit C, one gr/day and eating garlic. They can have vaginal showers with a cup of tea of kamille with ten drops of tincture of calendula and 4 drops of tea tree oil. You can let a homeopathic pharmacy make an isotherapy (homeopathic treatment) of the vaginal secretion. Then towards birth I always do the same actions that makes the baby strong and helps him battle possible infections: - no vaginal exams during pregnancy and as few as possible during labor. - no breaking the waters at any point of labor. - I leave the babys on moms tummy for two hours without handling him or interventions (unless it is really necessairy), so that breastfeeding can have a good start and the baby can have the colostrum with all he needs in it. - inform the mother to keep the baby with her and feed him as he needs - no cutting the cord until pulsation has stopped - taking swabs of the baby when mother was positive - giving parents clear information about observation of their baby and the possibility to call me at every hour of the day. I believe that giving antibiotics undermines the resistance of the baby and leads to more danger than it prevents. I give the parents the different ways they can go and also the different approaches in the hospitals. They are free to choose, but I don't give antibiotics at home. When they think the risk on infection is that high, they have to go to hospital. I only do normal births without intervention unless it is really necessairy. I had a few mothers who were positive (the gyns only test at 37 weeks and sometimes we are to late then to give treatment) and I didn't meet a child with problems yet. What I saw when the antibiotics became to be used preventive was that trush on nipples and with the babys became widely spread and became very difficult to treat. A lot of breastfeeding problems caused by seperating babys and mothers for giving preventive IV antibiotics the first days of babys life until the swabs proved to be negative. Warm regards Lieve On 13-02-2003 21:04, Trudie de keijzer [EMAIL PROTECTED] wrote: can anyone tell me the latest on strep B, when is it tested for and how do others deal with treatment at home? kind regards trudie http://www.homebirthservices.com.au Trudie de Keijzer phone 02 47574744 mobile 0438 572337 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] strep B
thanks Jane that is most helpful kind regards trudie http://www.homebirthservices.com.au Trudie de Keijzer phone 02 47574744 mobile 0438 572337 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] strep B
thanks lieve this has been most helpful kind regards trudie http://www.homebirthservices.com.au Trudie de Keijzer phone 02 47574744 mobile 0438 572337 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] strep B
Dear Trudie There is a website in the UK on Group B strep - it has leaflets as.pdf files that you are able to download - Check it out at http://www.gbss.org.uk/. I providewomen with one of the leaflets off this site and talk about the variations in policies at different hospitals. Some women will choose to have a swab in pregnancy (generally late pregnancy) - if positive I suggest a naturopathic/homeopathic consultation. I discuss IV antibiotics in labour at home and their feelings around the same. On a couple of occasions women have had IV antibiotics at home - heavy growth of GBS remained after they had taken natural remedies. If a woman has SROM and no labour - a recommendation is made to have a low vaginal swab as soon as practical (given it takes 48 hours for the final result) - so her GBS status is known. Hope this helps Jane Pregnancy, Birth and Beyond Caring, Professional Midwifery Services Sydney Visit http://www.pregnancy.com.au -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Trudie de keijzerSent: Friday, 14 February 2003 7:05 AMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] strep Bcan anyone tell me the latest on strep B, when is it tested for and how do others deal with treatment at home?kind regards trudiehttp://www.homebirthservices.com.auTrudie de Keijzerphone 02 47574744mobile 0438 572337
