Re: [ozmidwifery] GBS
Yes, I know the literature, but our health service has made it a required screening. All women in our health service are 'offered' the screening. warmly, Carolyn - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 6:43 PM Subject: [ozmidwifery] GBS Journal of Obstetrics Gynaecology Publisher: Taylor Francis Issue: Volume 25, Number 5 / July 2005 Pages: 462 - 464 URL: Linking Options DOI: 10.1080/01443610500160261 Group B streptococcus disease in neonates: To screen or not to screen? O. Subair A1, P. Wagner , F. Omojole , H. Morgan A Department of Obstetrics and Gynaecology, Whittington Hospital, London, UK Abstract: Summary An audit was undertaken of the prevention of early-onset Group B streptococcus (EOGBS) disease in neonates. The prevention strategy in use involved offering Intra-partum Antibiotic Prophylaxis (IAP) to mothers with identified risk factors, which include maternal fever in labour gt; 38°C, previous baby with GBS disease, prolonged rupture of membranes gt; 18 h, pre-term labour, GBS urinary tract infection and known GBS carriage. The most common risk factor identified was GBS carriage (41%) which was known ante-partum but logistical problems prevented these mothers from receiving adequate prophylaxis 4 h before delivery and so were classified as at risk of GBS disease. We found an incidence of GBS in our unit of 0.55 per 1,000 births over the study period. One neonate developed EOGBS disease and the mother had no identifiable risk factor ante-partum/intra-partum. Recent recommendations from the Royal College of Obstetricians and Gynaecologists (RCOG) could reduce the number of babies having sepsis screens performed as the time interval from beginning IAP to delivery has been shortened to 2 h and routine surface cultures or blood cultures are not recommended in well newborns. The evidence is lacking at this point to recommend universal screening for GBS in all pregnant women but patients are increasingly aware of this option and may request anogenital swabs to assess GBS carriage.
Re: [ozmidwifery] GBS and Staph
You don't "get it" , you aready have it. She
hasn't caught anything its very normal.
Amanda
- Original Message -
From:
Kelly @
BellyBelly
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, October 07, 2006 6:54
AM
Subject: RE: [ozmidwifery] GBS and
Staph
Thanks everyone for
your replies, she is also wondering how she could have gotten
it?
Best
Regards,
Kelly
Zantey
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan CudlippSent: Friday, October 06, 2006 11:22
PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and
Staph
Yes Melissa - GBS is a different
organism from Staph.
Not so long ago we used to
'anti-staph' the babies post first bath and day 3 using chlorhexidine cream,
it apparently no longer is required as the 'staph contamination' is not
harmful.
Group B Strep is treated by AB's
in labour and screening/monitoring babies X48 hours, very few are colonised,
and few of these become sick but those that do can be very sick
indeed
Sue
-- Original Message -
From: Melissa Singer
To: ozmidwifery@acegraphics.com.au
Sent: Friday, October 06, 2006 6:53
PM
Subject: Re: [ozmidwifery] GBS and
Staph
I thought group b strep and
staph aureaus are different organisms? Staph infections on vaginal
swab require no treatment or preventative abs in labour. Staph seems
to have no effects on baby (that they haven't found out yet!) and it is a
normal colonisation of the skin only becoming a issue in the sick, and
immunocompromised. I not 100% sure and am getting ready for work so no
time to look it up yet.
(p.s sharon, where i work
we use benzpennicillin 1.2grams then 600mg every four
hours.)
Regards
Melissa
- Original Message -
From: sharon
To: ozmidwifery@acegraphics.com.au
Sent: Friday, October 06, 2006 6:35
PM
Subject: RE: [ozmidwifery] GBS and
Staph
Thats right gbs
is group b streph which is found on vaginal swab at 36 weeks treated with
benzpennicillin during labour every 4 hours commencing with a loading dose
of 3 gms then 1.2 gm every four hours while in active
labour.
Regards
sharon
From: [EMAIL PROTECTED]
[mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri
KatrinaSent: Friday, 6
October 2006 7:32 PMTo:
ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and
Staph
Isn't GBS a staph infection??? Been awhile since I
was at work, relishing in the time off work with little munchkin who is
now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM,
Kelly @ BellyBelly wrote:
One of the women on my site has
just found out she has both of these things. She said she has googled for
hours and cant find anything on Staph specifically. Can someone pass on
some knowledge on what this is going to mean? I have never heard of
someone having both before
. Shes almost 38wks
Best
Regards,Kelly ZanteyCreator,BellyBelly.com.auConception,
Pregnancy, Birth and BabyBellyBelly Birth Support
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RE: [ozmidwifery] GBS and Staph
The routine dose in our tertiary hospital is Benzyl penicillin 1.2g stat then 600mg 4 hrly. In active labour. No wonder the bugs get confused. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Katy O'Neill Sent: Saturday, 7 October 2006 1:43 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GBS and Staph Interesting, our regime is different Amoxil IV 1gm 6th hourly. Katy. - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 8:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon
Re: [ozmidwifery] GBS and Staph
Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old. katrina On 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: x-tad-smallerOne of the women on my site has just found out she has both of these things. She said she has googled for hours and can’t find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before…. She’s almost 38wks…/x-tad-smaller x-tad-smaller /x-tad-smaller x-tad-smallerBest Regards,/x-tad-smaller x-tad-smaller /x-tad-smaller x-tad-smallerKelly Zantey/x-tad-smaller x-tad-smallerCreator, /x-tad-smallerx-tad-smallerBellyBelly.com.au/x-tad-smaller x-tad-smallerConception, Pregnancy, Birth and Baby/x-tad-smaller x-tad-smallerBellyBelly Birth Support/x-tad-smaller
RE: [ozmidwifery] GBS and Staph
Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri Katrina Sent: Friday, 6 October 2006 7:32 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old. katrina On 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before. Shes almost 38wks Best Regards, Kelly Zantey Creator,BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support
Re: [ozmidwifery] GBS and Staph
I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support
Re: [ozmidwifery] GBS and Staph
I was found to be positive with GBS and refused IV treatment in labour, baby was fine with no signs of GBS at all on swabbing. Kristin From: "Melissa Singer" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and StaphDate: Fri, 6 Oct 2006 18:53:33 +0800 I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] GBS and Staph
Yes Melissa - GBS is a different organism from Staph. Not so long ago we used to 'anti-staph' the babies post first bath and day 3 using chlorhexidine cream, it apparently no longer is required as the 'staph contamination' is not harmful. Group B Strep is treated by AB's in labour and screening/monitoring babies X48 hours, very few are colonised, and few of these become sick but those that do can be very sick indeed Sue -- Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:53 PM Subject: Re: [ozmidwifery] GBS and Staph I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.407 / Virus Database: 268.13.0/464 - Release Date: 5/10/2006
RE: [ozmidwifery] GBS and Staph
Thanks everyone for your replies, she is also wondering how she could have gotten it? Best Regards, Kelly Zantey From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan Cudlipp Sent: Friday, October 06, 2006 11:22 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GBS and Staph Yes Melissa - GBS is a different organism from Staph. Not so long ago we used to 'anti-staph' the babies post first bath and day 3 using chlorhexidine cream, it apparently no longer is required as the 'staph contamination' is not harmful. Group B Strep is treated by AB's in labour and screening/monitoring babies X48 hours, very few are colonised, and few of these become sick but those that do can be very sick indeed Sue -- Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:53 PM Subject: Re: [ozmidwifery] GBS and Staph I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: [EMAIL PROTECTED] [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri Katrina Sent: Friday, 6 October 2006 7:32 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old. katrina On 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before. Shes almost 38wks Best Regards, Kelly Zantey Creator,BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support <hr size=2 width="100%" align=center> No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.407 / Virus Database: 268.13.0/464 - Release Date: 5/10/2006
Re: [ozmidwifery] GBS and Staph
http://medic.med.uth.tmc.edu/path/1456.htm STAPHYLOCOCCUS Clinically, the most important genus of the Micrococcaceae family is Staphylococcus. The Staphylococcus genus is classified into two major groups: aureus and non-aureus. S. aureus is a leading cause of soft tissue infections, as well as toxic shock syndrome (TSS) and scalded skin syndrome. It can be distinguished from other species of Staph by a positive result in a coagulase test(all other species are negative). The pathogenic effects of Staph are mainly asssociated with the toxins it produces. Most of these toxins are produced in the stationary phase of the bacterial growth curve. In fact, it is not uncommon for an infected site to contain no viable Staph cells. The S. aureus enterotoxin causes quick onset food poisoning which can lead to cramps and severe vomiting. Infection can be traced to contaminated meats which have not been fully cooked. These microbes also secrete leukocidin, a toxin which destroys white blood cells and leads to the formation of pus and acne. Particularly, S. aureus has been found to be the causative agent in such ailments as pneumonia, meningitis, boils, arthritis, and osteomyelitis (chronic bone infection). Most S. aureus are penicillin resistant, but vancomycin and nafcillin are known to be effective against most strains. Of the non-aureus species, S. epidermis is the most clinically significant. This bacterium is an opportunistic pathogen which is a normal resident of human skin. Those susceptible to infection by the bacterium are IV drug users, newborns, elderly, and those using catheters or other artificial appliances. Infection is easily treatable with vancomycin or rifampin. S.Epidermis: Babies often get pustules which when swabbed contain staph. It causes paronychia 'sticky eyes' plus impetigo in infants/chidren. Highly contagious passes quickly between children, good hand-washing is essential. I wouldn't agree that it's harmless babies can getqite sick esp if it affects their umbi it requires antibiotic therapy. S. aureus gets into wounds can become really nasty. You have all heard of MRSA Golden Staph (which can kill a baby due to septic shock as can Streptococcus). With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 11:22 PM Subject: Re: [ozmidwifery] GBS and Staph Yes Melissa - GBS is a different organism from Staph. Not so long ago we used to 'anti-staph' the babies post first bath and day 3 using chlorhexidine cream, it apparently no longer is required as the 'staph contamination' is not harmful. Group B Strep is treated by AB's in labour and screening/monitoring babies X48 hours, very few are colonised, and few of these become sick but those that do can be very sick indeed Sue -- Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:53 PM Subject: Re: [ozmidwifery] GBS and Staph I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass
Re: [ozmidwifery] GBS and Staph
Melissa, They are different both can ie it is possible not probable they willmake babies very sick. http://www.allaboutmedicalsales.com/medical_briefings/mrsa_infection_ip_230404.html Sorry impetigo is strep not staph ! http://www.gsbs.utmb.edu/microbook/ch013.htm With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 8:53 PM Subject: Re: [ozmidwifery] GBS and Staph I thought group b strep and staph aureaus are different organisms? Staph infections on vaginal swab require no treatment or preventative abs in labour. Staph seems to have no effects on baby (that they haven't found out yet!) and it is a normal colonisation of the skin only becoming a issue in the sick, and immunocompromised. I not 100% sure and am getting ready for work so no time to look it up yet. (p.s sharon, where i work we use benzpennicillin 1.2grams then 600mg every four hours.) Regards Melissa - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support
Re: [ozmidwifery] GBS and Staph
Interesting, our regime is different Amoxil IV 1gm 6th hourly. Katy. - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 8:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support__ NOD32 1.1793 (20061006) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] GBS
Exactly 20to 30% of otherwise healthy women will test positive for GBS by either urine culture or lvs at 37/40 wks: we have no way of knowing which GBS positive women will have a GBS septic baby and, in fact most GBS positive women wont!! Somehow some women who are gbs positive transmit immunity to their baby or themselves and others don't which is why the antibiotics ordered are for GBS prophylaxis not illness. As Mary said we are not treating an illness. Check out the GBS guidelines at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5111a1.htm . marilyn - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 21, 2005 11:29 PM Subject: [ozmidwifery] GBS GBS is part of the normal flora of a large number of women. It causes some difficulty to some babies but not to all babies, even those that are colonized. Colonization does not mean illness. MM GBS is not normal. What is the cut-off point for midwifery care scope of Px? -- 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] GBS
I worked the GBS issue through because in Belgium they are really fussing about it and a lot of women are given Abs in labour. As result we see a lot of trush and other troubles due to the Abs for mother and child. In the Netherlands there is an organisation for parents with children that suffered from GBS and they have a good leaflet. Also on the website of the obs and gyns in Belgium is written that in simple positive mothers Abs give no better outcomes than simple observation of the child after birth. There are 5 reasons where Abs are considered: - Premature labour - 24 hours rupture of membranes - Already a child suffered from GBS disease - Fever during labour - Urinairy tract infections during pregnancy caused by massive invasion with GBS You can read it yourself at http://www.ogbs.nl/ there is an english part of the site. A fact is also that all research is done in hospital situations,so we don't know what numbers are in homebirth situations with no interventions. So I explain to mothers that we don't give Abs at home. I am very good in cannulating, that's not the problem, but I think that giving an IV with Abs is more dangerous than the risk on GBS. There is also suggested that when children had Abs during labour, they are more vulnerable to other dangerous infections like pneumococcen. What we do to prevent GBS transmision: - no vaginal ex during pregnancy (still routine with gyns) - never ARM in labour - as less vaginal ex as possible (often none) during labour - no stress with pushing, al on mothers time - no episio (I did 1 in 7 years of homebirths) - no cutting of the cord - baby with mother skin-skin for 2 hours without interruption, till after first breastfeeding If mothers choose out of fear for Abs, they have to go to the hospital. They can choose then for a hospital where I can stay with them as midwife and no doc involved unless there is a problem. Greetings Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht- Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Marilyn Kleidon Verzonden: maandag 23 mei 2005 1:43 Aan: ozmidwifery@acegraphics.com.au Onderwerp: Re: [ozmidwifery] GBS Exactly 20to 30% of otherwise healthy women will test positive for GBS by either urine culture or lvs at 37/40 wks: we have no way of knowing which GBS positive women will have a GBS septic baby and, in fact most GBS positive women wont!! Somehow some women who are gbs positive transmit immunity to their baby or themselves and others don't which is why the antibiotics ordered are for GBS prophylaxis not illness. As Mary said we are not treating an illness. Check out the GBS guidelines at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5111a1.htm . marilyn - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 21, 2005 11:29 PM Subject: [ozmidwifery] GBS GBS is part of the normal flora of a large number of women. It causes some difficulty to some babies but not to all babies, even those that are colonized. Colonization does not mean illness. MM GBS is not normal. What is the cut-off point for midwifery care scope of Px? -- 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. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.12 - Release Date: 17/05/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.14 - Release Date: 20/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] GBS
Thanks for the link that led to the U.K.GBS site Lieve, It is very balanced compared to what I have seen before. Cheers, Mary Murphy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GBS
Thanks I am well aware of the guidelines. Jennifer Cameron FRCNA FACM PO Box 1465 Howard Springs NT 0835 0419 528 717 - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, May 23, 2005 9:12 AM Subject: Re: [ozmidwifery] GBS Exactly 20to 30% of otherwise healthy women will test positive for GBS by either urine culture or lvs at 37/40 wks: we have no way of knowing which GBS positive women will have a GBS septic baby and, in fact most GBS positive women wont!! Somehow some women who are gbs positive transmit immunity to their baby or themselves and others don't which is why the antibiotics ordered are for GBS prophylaxis not illness. As Mary said we are not treating an illness. Check out the GBS guidelines at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5111a1.htm . marilyn - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 21, 2005 11:29 PM Subject: [ozmidwifery] GBS GBS is part of the normal flora of a large number of women. It causes some difficulty to some babies but not to all babies, even those that are colonized. Colonization does not mean illness. MM GBS is not normal. What is the cut-off point for midwifery care scope of Px? -- 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. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.14 - Release Date: 20/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] GBS and iv cannulation
Love to see you policy about this. Sally From: Ken WArd [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 21, 2005 3:36 PM Subject: RE: [ozmidwifery] re epidural top ups and iv cannulation Why involve an obs for GBS? As long as correct procedure is followed, there is little chance of transmission. We give oral abs if prom iv in labour. We don't induce for 48hrs, rather just keep an eye on the woman's temp and ctg at 18hrs and and 24hrs following. We have never had a problem. Our drs rx the abs, antenatally when the woman is diagnosed at 37/40. A lot of our women elect not to be swabbed, and again no probs. All babies are monitored temp etc for 24hrs and parents aware of what to watch for. Lets keep drs away from normal women having nice pregnancies and babies -- 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.
