EBB 261 - Ask Me Anything about Group B Strep

Evidence Based Birth®

Rebecca Dekker

Pregnancy, Health & Fitness, Childbirth, Parenting, Birth, Medicine, Kids & Family, Doula, Obstetrician, Midwife

4.6 • 978 Ratings

🗓️ 29 March 2023

⏱️ 17 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this bonus episode, we wrap up our 2-part series on Group B Strep in Pregnancy, where I answer some of your questions following the first two episodes.

Here are the questions answered in this bonus episode:

Is it possible to retest between an initial GBS swab and going into labor? Are there things that can be done to get a negative test before labor occurs?
If you are GBS positive in one pregnancy, are you likely to be positive in subsequent pregnancies?
Discussion about an important limitation to one of the studies in our GBS update.
Discussion about risk factors and the “Other Risk Factor” approach vs the Universal Screening approach
Is there evidence for screening for GBS twice in the same pregnancy?

Make sure you listen to Part 1 and Part 2 to review the updated GBS research.

Resources:

Listen to EBB 254: Group B Strep in Pregnancy Part 1 here
Listen to EBB 257: Group B Strep in Pregnancy Part 2 here
Listen EBB 87: Cristen Pascucci on How to Disagree on Birth Topics Respectfully! here
Learn more about the use of antibiotics in labor in our Pocket Guide to Labor Interventions

References:

Parente V, Clark RH, Ku L, Fennell C, Johnson M, Morris E, Romaine A, Utin U, Benjamin DK, Messina JA, Smith PB, Greenberg RG. Risk factors for group B streptococcal disease in neonates of mothers with negative antenatal testing. J Perinatol. 2017 Feb;37(2):157-161. doi: 10.1038/jp.2016.201. Epub 2016 Nov 17. PMID: 27853322; PMCID: PMC5280520.
Kabiri D, Hants Y, Yarkoni TR, Shaulof E, Friedman SE, Paltiel O, Nir-Paz R, Aljamal WE, Ezra Y. Antepartum Membrane Stripping in GBS Carriers, Is It Safe? (The STRIP-G Study). PLoS One. 2015 Dec 31;10(12):e0145905. doi: 10.1371/journal.pone.0145905. PMID: 26719985; PMCID: PMC4697801.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com.

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Click here to learn more about the Evidence Based Birth® Childbirth Class.

Transcript

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0:00.0	Hi everyone on today's podcast I'm going to do a mini Q&A about Group B Strep.
0:09.6	Welcome to the Evidence-Based Birth Podcast.
0:12.0	My name is Rebecca Decker and I'm a nurse with my
0:14.4	PhD and the founder of evidence-based birth. Join me each week as we work
0:19.4	together to get evidence-based information into the hands of families and professionals around the world.
0:26.0	As a reminder, this information is not medical advice.
0:29.0	See EvieBbirth.com slash disclaimer for more details.
0:35.4	Hi everyone and welcome to today's episode of the evidence-based birth
0:39.0	podcast. My name is Dr. Rebecca Decker,
0:41.4	pronouns she her and I'll be your teacher for today's episode.
0:45.0	Today I'm so excited to answer some of your questions that you've been submitting about
0:49.4	groupie strep during pregnancy.
0:51.6	Before I get started, I have an important announcement for you.
0:54.8	We are having a free public webinar all about some of the latest evidence on water birth,
1:00.3	prom or premature rupture of membranes and group B. Strep where we're going to review
1:05.4	the updated evidence and debunk some myths about each of these topics.
1:09.3	We'll have two identical showings of this webinar. The first is Thursday, April 20th, and the second
1:16.2	is Sunday, April 23rd. If you cannot attend live, go ahead and sign up anyways because we'll send you the link to the replay
1:23.8	afterwards and we only have these free public webinars twice a year so don't
1:29.3	miss your chance to engage with me the research team at evidence-based birth, and the rest of our
1:34.3	community. Now today is the third time on the EBB podcast that we're focusing on
1:40.2	Group B Strep and we're doing this to celebrate our update on a
	...

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