
Group B Strep, also known as beta strep or GBS, is estimated to effect 10-30% of pregnant women. About 2% of these women will unknowingly pass the bacteria on to their babies. Treatment with antibiotics in labor can drastically reduce the risks of your baby getting an infection from GBS, which can possibly save his or her life.
The American Congress of Obstetricians and Gynecologists (ACOG) released revised guidelines in 2011 for screening pregnant women and treating women who are positive in labor. They call for routine screening of all pregnant women between 35-37 weeks gestation and treatment for all positive women in labor. While this is not a departure from previous guidelines, it does include newer guidelines for instances of preterm labor and premature rupture of membranes (bag of water).
The good news is that the Group B Strep infection rates have been falling for babies as the Center for Disease Control (CDC) and ACOG have instituted routine screening between weeks 35-37 for pregnant women and then treating colonized women in labor with IV antibiotics.
The CDC also recommends you be treated, regardless of your screening status, if you have a fever of 100.4 or higher, your water has been broken for more than 18 hours or if you are in labor prior to 37 weeks and 0 days.
If you are having a scheduled c-section, you should still be screened. You will not need to be given the IV antibiotics for GBS prior to your surgery if you are not in labor and your bag of waters is intact. The guidelines also point out that GBS status should not effect any obstetric interventions, including labor induction, cervical ripening or other procedures.
Have you talked to your practitioner yet about screening for Group B Strep?
Related:
Source:
"Prevention of Early Onset Group B Streptoccocal Disease in Newborns." Committee Opinion #485. Obstet Gyncecol 2011; April.
Getting Tested for Group B Strep (GBS) originally appeared on About.com Pregnancy & Childbirth on Wednesday, July 25th, 2012 at 09:50:22.
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