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, 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
_____
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
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