Strep B and Csection

SwetaV · June 2013

I will be getting my strep b test done on Friday, so this is a precautionary question...as I was reading the effects and precautions for a vaginal delivery, I know for sure that I will be having a csection as I am carrying twins and both are breech at 35w3d. I did some research but nothing is clear on if Group B Strep has any effect on csections. Any ideas?!?

A37licia · June 2013

Interestingly, something I read recently seemed to give valid information that infection often occurs before birth, while in the womb. Not in every case, but it was telling that often, illness shows up an hour or two after birth, and seems to indicate pre-birth infection of GBS. I always wondered why they treat for c/s, but that explains why. It's contained on this page from Evidence Based Birth:

https://evidencebasedbirth.com/groupbstrep/

" When a baby has an early GBS infection, symptoms usually appear within the first 12 hours, and almost all babies will have symptoms within 24-48 hours (CDC 2010). In a study of 148,000 infants born between 2000 and 2008, almost all of the 94 infants who developed early GBS infection were diagnosed within an hour after birth?suggesting that early GBS infection probably begins before birth (Tudela et al. 2012)."

It's an interesting read.

Dragonfly1226 · June 2013

When my doctr did my strep b test she said it didn't tater if baby A didn't turn and we needed to do a c section. She did the test anyway just in case baby A turned last minute and we wanted to consider a vaginal delivery.

amandapaul17 · June 2013

My doctor didn't even do a strep B test because it was determined that I needed a C-section.

JSabs09 · June 2013

I tested positive for strep b and it was a non-issue because I had a breech baby and a planned c section. If you're planning a c section and test positive - it doesn't matter.

Eleventy11 · June 2013

PP suggestions that it doesn't matter, did not apply where I delivered. I tested positive and had a planned RCS. I was treated with antibiotics, but only had time for one round before my surgery. DS had to be taken away and tested since I had not gotten both doses. My nurses tried to skip it, but the pediatrician was adamant since I had tested positive.

Mom38673 · June 2013

I tested positive for GSB with my first. I had a section with her. They gave me antibiotics via IV during the section. My Dr says the chances of problems from GSB with a section delivery are greatly reduced. My LO is perfect.

mommytoconnor · June 2013

Im an OB nurse and as long as your membranes don't rupture prior to CS then you should be fine. The only time it's a real concern is if your membranes rupture prior then you need to get antibiotics ( at least 2 doses) prior to delivery.

JLDillon17 · June 2013

I was positive and was scheduled for csection. They gave me antibiotics when I got to the hospital before the csection.

bumpuser5727094 · June 2013

I tested positive for GBS and was going to have a vaginal delivery, but LO decided to take his time coming out & I ended up getting a C-section. Since the Drs knew I was GBS positive, they gave an IV of antibiotics when I went into labor (I read somewhere that you need it at least 4 hours for it to be effective). As far as it affecting the baby at birth, I believe that it's only passed on during vaginal births if not treated, but I am not 100% sure about that...

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