Pregnancy / Childbirth

GBS positive - and what next?

GBS positive - and what next?

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When you read "GBS positive", you may have fear in your eyes. It is often even larger when the doctor explains that no treatment is needed. You want the best for your child, and you face the decisions you don't understand. It's worth explaining everything step by step .... What does GBS positive mean?

What is GBS positive?

GBS streptococci are designated Streptococcus agalactiae, GBS - group B Streptococcus. There are streptococci that occur even in 30% of women. They are found in the genital tract, urinary tract and in the lower parts of the digestive system. They do not cause any symptoms (they can cause them in the period of severe weakness, in the elderly). Just like other bacteria, they colonize certain areas, and the news of their presence is a surprise.

They are not sexually transmitted. They are in the digestive tract and from here they get to the genital tract.

GBS positive - dangerous to the child, not to the mother

GBS positive does not pose a threat to a pregnant woman, but to a child at delivery.

In up to 70% of women who have GBS positive and who have not taken appropriate action before delivery, streptococci enter the respiratory and digestive tract of the child through the mouth. As a consequence, what can happen to various diseases in the child - pneumonia or even at a later time meningitis.

Necessary swab for streptococcus

The risk resulting from the presence of streptococci in the woman's genital tract forced to create preventive methods aimed at protecting the child who is born.

Due to the fact that streptococcal colonization often occurs during pregnancy genital tract and rectal swab ordered to download only in the third trimester, before the planned solution. Every expectant mother should have a test done in this direction between 35 and 37 weeks of pregnancy.

When GBS is added ...

Obtaining a positive GBS test involves taking certain actions during delivery. However, not always a positive GBS result forces antibiotic administration, although this is generally practiced. The birthing situation, urine culture results, streptococcal infection during previous delivery are taken into account, as well as the time of delivery - a premature baby is more likely to suffer from streptococcal infection.

GBS positive usually forces the antibiotic to be given during delivery (intravenously or orally), most often penicillin, in such a dose that it is safe for the child. A newborn baby born to a mother with GBS positive should be closely monitored for possible infection in the first days of life.


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