Posts Tagged ‘GBS’

What you need to know about group B strep and pregnancy

Thursday, July 26th, 2018


During your last trimester of pregnancy, you get a test for group B strep (also called GBS). GBS is a common type of bacteria that can cause infection. Usually, GBS is not serious for adults, but it can hurt newborns. It’s important to get this test and know the results so you can protect your baby.

Many people carry GBS — in fact about 1 in 4 (25 percent) pregnant women are carriers. Being a carrier does not mean you have an infection, it means you have this bacteria in your body. GBS bacteria naturally live in the intestines and the urinary and genital tracts. You can’t get it from food, water or things you touch. You can’t catch it from another person, and you can’t get it from having sex. GBS in adults usually doesn’t have any symptoms. But sometimes it can cause minor infections, like a bladder or urinary tract infection (UTI).

If you’re pregnant and have a GBS infection, it can pass to your baby during labor and birth and can make your baby very sick.

Testing and treatment for GBS

You prenatal care provider tests you for GBS at 35 to 37 weeks of pregnancy. The test is a simple swab of your vagina and rectum. If you have GBS, your provider gives you antibiotics during labor and birth to help prevent your baby from getting infected.  Your provider gives you the antibiotics through an IV.

Penicillin is the best antibiotic for most women. If you’re allergic to penicillin, you can get a different medicine. It’s not helpful to your baby if you get treatment for GBS early in your pregnancy. The bacteria can return quickly, so you could have it again by the time you go into labor.

If you have GBS, remind your providers at the hospital when you go to have your baby. This way you can be treated quickly. Treatment works best when it begins at least 4 hours before childbirth. If you have GBS and you’re having a scheduled c-section before labor starts and before your water breaks, you probably don’t need antibiotics.

What are the chances you can pass GBS to your baby?

If you have GBS during childbirth and it’s not treated, there’s a 1 to 2 in 100 chance (1 to 2 percent) that your baby will get the infection. The chances are higher if you have any of these risk factors:

  • Your baby is premature. This means your baby is born before 37 weeks of pregnancy.
  • Your water breaks (also called ruptured membranes) 18 hours or more before you have your baby.
  • You have a fever (100.4 F or higher) during labor.
  • You’ve already had a baby with a GBS infection.
  • You had a UTI during your pregnancy that was caused by GBS.

If you have GBS and you’re treated during labor and birth, your treatment helps protect your baby from the infection.

Visit marchofdimes.org for more information.

 

Preventing infections during pregnancy

Wednesday, February 21st, 2018

February is International Prenatal Infection Prevention month. Here are some ways that you can try to prevent infections during pregnancy.

Wash your hands: Washing your hands regularly can help to reduce the spread of colds, the flu and other infections, like cytomegalovirus (CMV).

Wash your hands:

  • Before preparing or eating food
  • After handling raw meat, raw eggs or unwashed vegetables
  • After being around pets or animals
  • After changing diapers, wiping runny noses, or picking up toys

Prepare food properly: Handle foods safely whenever you wash, prepare, cook and store them. Wash knives, cutting boards and dishes used to prepare raw meat, fish or poultry before using them for other foods. Foods to avoid during pregnancy include raw meat, fish, and eggs and unpasteurized foods.

Get vaccinated: Vaccinations can help protect you and your baby from certain infections during pregnancy. Some vaccinations are safe to get during pregnancy, but others are not. Talk to your provider to make sure any vaccination you get during pregnancy is safe. Make sure your vaccinations are up to date before you get pregnant.

Protect yourself from Zika: If you get infected with the Zika virus during pregnancy, you can pass it to your baby. It causes a birth defect called microcephaly and other brain problems. Zika virus spreads through mosquito bites and through body fluids, like blood and semen.

  • If you’re pregnant or trying to get pregnant, don’t visit a Zika-affected area unless absolutely necessary.
  • Protect yourself from mosquito bites.
  • If your male or female partner may be infected with Zika, use a barrier method (like a condom) every time you have sex or don’t have sex at all.
  • If you’re pregnant and think you may have been exposed to Zika virus, see your health care provider right away.

Ask someone else to clean your cat’s litter box: If you have to do it yourself, wear gloves. Wash your hands thoroughly when you’re done emptying the litter. Dirty cat litter may contain toxoplasmosis, an infection caused by a parasite. Toxoplasmosis can cause health problems for your baby during pregnancy.

Get tested for sexually transmitted infections (STIs): STIs are infections you can get from having unprotected sex with someone who’s infected. If you’re pregnant and have an STI, it can cause serious problems for your baby, including premature birth and birth defects. Testing for STIs is a part of prenatal care. If you have an STI, getting treatment early can help protect your baby.

Have testing for Group B Strep (GBS): Many people carry Group B strep bacteria and don’t know it. It may never make you sick. GBS in adults usually doesn’t have any symptoms, but it can cause some minor infections, like a bladder or urinary tract infection (UTI). While GBS may not be harmful to you, it can be very harmful to your baby. Your provider tests you for GBS at 35 to 37 weeks of pregnancy. If you have GBS, you’ll receive IV antibiotics during labor and birth.

Talk to your health care provider: Talk to your provider about how to prevent infections, making sure that you’re up-to-date on your vaccinations before pregnancy, and what vaccinations you need during pregnancy.

 

Silent but dangerous bacteria

Monday, July 20th, 2015

Pregnant woman with doctorAbout 25% of pregnant women carry Group B streptococcus (also called Group B step or GBS). GBS may come and go quietly in your body without any symptoms, so you may not be aware that you are carrying it. GBS may never make you sick and we don’t know exactly how the bacteria is transmitted. But while GBS may not be harmful to you, it can be very harmful to your baby.

How can GBS affect you during pregnancy?

GBS lives in the rectum or vagina and can cause a bladder or urinary infection (UTI). Women who have symptoms can receive antibiotics from their provider. If you don’t have symptoms of an infection, you may not know you need treatment. Without treatment, a uterine infection during pregnancy can increase your chances of:

• Premature rupture of the members – When the amniotic sac breaks after 37 weeks of pregnancy but before labor starts
• Preterm labor – Labor that happens too early, before 37 weeks of pregnancy
• Stillbirth – When a baby dies in the womb before birth, but after 20 weeks of pregnancy

Is there any good news?

Yes, you can be tested for GBS. If you are pregnant, you will be tested for GBS at 35 to 37 weeks of pregnancy. Your provider will take a swab of your vagina and rectum and the sample will be sent to the lab. The process is simple and painless and results will be available in 1 to 2 days. If you go into preterm labor, your provider can use a quick screening test during labor to test you for GBS.

If the test is positive:

You will receive an antibiotic from your provider during labor and birth through an IV, which helps prevent your baby from getting the infection. Remind your health care provider at the hospital when you go to have your baby; this way you can be treated quickly. It may be helpful to make a note and stick it on top of your hospital bag so you remember as you walk out the door. If you have GBS and a scheduled cesarean birth (C-section) before labor starts and before your water breaks, you probably don’t need antibiotics.

With treatment, a woman has only a 1 in 4,000 chance of delivering a baby with group B strep, compared to a 1 in 200 chance if she does not get antibiotics during labor.

If you are worried about GBS, speak with your health care provider. Have questions? We are here; email AskUs@marchofdimes.org.

Group B strep infection

Friday, July 18th, 2014

Between 35-37 weeks of your pregnancy your prenatal care provider will test you for Group B strep. Group B streptococcus (also called Group B strep or GBS) is a common type of bacteria that can cause infection.

Many people carry Group B strep—in fact about 25% of pregnant women are carriers.  GBS bacteria naturally live in the intestines and the urinary and genital tracts. It is not known how GBS is transmitted in adults but you can’t get it from food, water, or things you touch. An adult can’t catch it from another person or from having sex, either.  Most people do not even know they are carriers since adults usually show no signs or symptoms related to GBS.

GBS, however, can be passed to your newborn during labor and delivery and it can make your baby very sick. Babies with a GBS infection may have one or more of these illnesses:

• Meningitis, an infection of the fluid and lining around the brain

• Pneumonia, a lung infection

• Sepsis, a blood infection

According to the CDC, in the US, group B strep is the leading cause of meningitis and sepsis in a newborn’s first week of life.

There are two kinds of GBS infections:

1. Early-onset GBS: Signs like fever, trouble breathing and drowsiness start during the first 7 days of life, usually on the first day. Early-onset GBS can cause pneumonia, sepsis or meningitis. About half of all GBS infections in newborns are early-onset.

2. Late-onset GBS: Signs like coughing or congestion, trouble eating, fever, drowsiness or seizures usually start when your baby is between 7 days and 3 months old. Late-onset GBS can cause sepsis or meningitis.

The good news is that early-onset GBS infection in newborns can be prevented by a simple test. During your third trimester, your provider will take a swab of the vagina and rectum. Results are available in a day or so. This test will need to be done in each pregnancy.

If you do have GBS, then your provider will give you an antibiotic through an IV (medicine given through a tube directly into your bloodstream) during labor and delivery. Usually this is penicillin (if you are allergic to penicillin, there are other options available). Any pregnant woman who had a baby with group B strep disease in the past, or who has had a bladder (urinary tract) infection during this pregnancy caused by group B strep should also receive antibiotics during labor.

Unfortunately late-onset GBS cannot be prevented with IV antibiotics. Late-onset GBS may be due to the mother passing the bacteria to her newborn, but it may also come from another source, which is often unknown.

Treatment for babies infected with either early-onset GBS or late-onset GBS is antibiotics through an IV.

Currently researchers are testing vaccines that will help to prevent GBS infections in both mothers and their babies.

If you have any questions about this topic or other pregnancy and newborn health issues, please email the Pregnancy and Newborn Health Education Center at askus@marchofdimes.org.