Hi, luker here...
I'm 39 wks days pregnant. I'm 5 cm dilated, nicely effaced, and I'm being told that baby's head is very low. I've also tested positive for GBS. I have been dilating very consistently over the past weeks with zero contractions so my dr. is concerned that when I go into labor that this baby will be born very quickly. There is a concern that they won't be able to get me antibiotics within the recommended time frame before the baby is born. (I've been instructed to get to the hospital within 30 minutes of starting contractions...) My dr. wants me to consider being induced so there is a little more control over the situation, i.e. give antibiotics, wait 4 hours, then induce labor. I'm not crazy about this idea... I kind of go by the philosophy that babies come when they're meant to and not on my timeframe BUT here is my question... I hate antibiotics for my kids. If I don't make it in time, they will automatically treat my baby with antibiotics after birth. Is there a difference in them treating me with antibiotics vs. treating the baby after birth (anyone have any ideas on this??) Is baby still getting as much medication when I get an IV vs. giving it directly to her? Granted, I know if I'm induced the baby will be exposed to other drugs as well, just trying to look at all the angles. I go to the dr. tomorrow to discuss my options and I'll ask the same thing then, just wondering if anyone else has had to deal with this. THoughts?
Re: Group B Strep
DS was born before I received a full dose of antibiotics and they didn't give him any after birth. They just watched him more closely for signs of infection and would give him antibiotics only if necessary. He ended up being fine. If a GBS+ mom doesn't receive antibiotics the chance of the baby contracting it are only 1 in 200.
I really don't think fast labor is a good reason to induce in this case. Even if you're 5cm now, chances are that you will still have plenty of time for antibiotics. If you're really concerned just go to the hospital sooner than you had planned.
med-free birth x2, breastfeeding, baby wearing SAHM
My BFP Chart
I had a similar situation. I didn't end up receiving any antibiotics because I didn't realize when my water broke. It was more of a trickle in the middle of the night and in my half-asleep haze, I thought I had peed myself. I didn't realize until I arrived at the hospital fully dilated and ready to push that my water had broken hours before. There was no time for antibiotics.
They just monitored DD and since she seemed fine, didn't give her any antibiotics. We were discharged within the normal time frame for a vaginal birth.
Your daughter will get less abx if you have them during labor than if the were directly administered to her. If you do get them, you can have her do skin-to-skin with your partner/DH after birth, so she can be colonized by good bacteria, and there's even powdered probiotics that are gentle enough to give to newborns.
I don't think there's a hospital in the US that will administer Hibiclens for GBS, quite honestly. And not all hospitals will do watchful waiting for babies whose mothers are GBS+ and haven't had antibiotics. You can definitely request watchful waiting, and probably sign an AMA form if it comes down to it.
Is this your first baby? Have you talked to your provider specifically about what the induction process would be? You can request they start with less invasive methods if you opt for it (breast pump, stripping membranes, foley bulb, etc). I think being 5 cm dilated is definitely in your favor of induction being successful. If it's not your first baby, then I would probably opt for it to avoid giving antibiotics to a newborn.
ETA: Your post reminded me of this birth story, she was very dilated, but still not in labor. Her MW broke her water and she had a med-free vaginal birth. hth!
https://www.babyrabies.com/2011/01/leynas-birth-story/
DS2 - Oct 2010 (my VBAC baby!)
-This may be true, however, 1 in every 20 babies born with GBS will die.
-If you get the antibiotics, the chances of the baby contracting GBS goes way down: 1 in 4,000 instead of 1 in 200.
My baby suffered from GBS. It was life threatening and caused him to have sepsis and pnuemonia. He was also treated for menigitis. He was in the NICU for 17 days and there were times we didnt think he was coming home.
I had tested NEGATIVE so antibiotics for me were not even an option.
Please just do whatever you have to lessen the chances of your baby becoming infected....even if it means induction.
Good Luck!