leoniedelt: dunno whose this is (david tennant capslock of rage !!1)
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posted by [personal profile] leoniedelt at 12:47pm on 04/09/2008 under , ,
and blast. I had a sample done from The Doctor's Laboratory, 2 GBS swabs by ECM, the most effective method of detection, and I am still positive for GBS.

Also i phoned the local hospital to see if they did sensitivities when they cultured it the first time, and they did. My strain is sensitive to cephalexin, and a bunch of -cillin drugs, but NOT clindamycin or erythromycin....

But the drug they want me to have in labour is clindamycin (because I am allergic to penicillin).

WHY ?!

Damn, people. I really had hoped I'd gotten rid of it with all those antibiotics I had, but the stuff comes back, quickly. Damn damn damn.
There are 7 comments on this entry. (Reply.)
 
posted by [identity profile] hergrace.livejournal.com at 01:32pm on 04/09/2008
/me sends hugs, good thoughts & prayers

 
posted by [identity profile] leoniedelt.livejournal.com at 01:37pm on 04/09/2008
Thank you - its just a sod, an annoyance which i'm trying to figure out how best to deal with.

The % chance of baby getting GBS disease is 0.5%. The risk of uterine rupture during VBAC is also 0.5%. Why is the one more acceptable than the other? There are risks to antibiotic treatment like baby maybe having asthma etc later on, and also thrush/yeast afterwards, interfering with breastfeeding...not to mention having all your gut and skin flora wiped out, possibly needlessly...

rock > me < hard place, fo shizzle.
 
posted by [identity profile] happydalek.livejournal.com at 05:14pm on 04/09/2008
Is there any other alternative to clindamycin that you're not allergic to? Who else can you complain to about this? If the drug they want to give you won't be effective, then all it will do is contribute to your and B's future antibiotic resistance. On the other hand, the risks of B getting GBS are pretty low, so the odds are in your favor, but I can understand your worry. If the hospital is going to take measures, then they should be measures that will actually help.

*hugs and more prayers*
 
posted by [identity profile] leoniedelt.livejournal.com at 07:28am on 05/09/2008
There seems to only be one choice besides penicillinG, according to their protocols, and that's clindamycin.

I'm not even sure abx are the right thing to do - there are risks to having them, as much as not.

Aaah, the beauty of motherhood. Choices that are damned if you do damned if you don't, and you're fucked no matter what you choose. It sucks, really, but its all part and parcel of motherhood.
 
posted by [identity profile] mooncove.livejournal.com at 02:14am on 05/09/2008
Hi, I've been offline for a bit ...

So sorry to hear you're going through this. I didn't know what GBS was, so I looked it up, and ... have you seen this:

"How can I protect my baby from Group B Strep infection?

"If you test positive for GBS and meet the high risk criteria, then your physician will recommend giving you antibiotics through IV during your delivery to prevent your baby from becoming ill. Taking antibiotics greatly decreases the chances of your baby becoming ill.

"For women who are group B strep carriers, antibiotics before labor starts are not a good way to get rid of group B strep bacteria. Since they naturally live in the gastrointestinal tract (guts), the bacteria can come back after antibiotics. A woman may test positive at certain times and not at others. That’s why it is important for all pregnant women to be tested for group B strep between 35 to 37 weeks of every pregnancy.

"If you are at a low risk, the decision to use antibiotics is up to you. There are herbal remedies that you can take 2-3 weeks before delivery that a midwife or homeopathic physician can recommend."

It sounds like this is normal and the docs are giving you the antibiotics too soon. I hope that's all it is!
 
posted by [identity profile] leoniedelt.livejournal.com at 07:25am on 05/09/2008
I've read TOMES on the subject, but i'm not sure what i need to be doing. I'm not even sure its a risk i need to worry about.

There's a 0.5% risk my uterus might rupture during labour.
There's a 0.5% risk that B may be born with GBS disease.

If i'm happy to take the first risk, why am i so frightened of the second? Its the same damn percentage! Possibly because the long term risks of B being born with GBS disease are a lot higher than the risks of uterine rupture, which is inappropriately named to begin with, but i just do not know.

Motherhood = GUILT. I'm fucked no matter what i do.
 
posted by [identity profile] aquirkofmatter.livejournal.com at 04:05pm on 05/09/2008
*hugs* ♥

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