Family & Relationships Pregnant Women In Premature Labour Should Be Offered Antibiotics To Tackle Group B Strep

12:32  13 september  2017
12:32  13 september  2017 Source:   Huffington Post UK

Should you always finish a course of antibiotics?

  Should you always finish a course of antibiotics? A new study turns the time-honoured advice on its headAntibiotic resistance is a growing problem and in recent years, we have seen the emergence of many bacteria that are resistant to medication. You've likely heard of MRSA, for instance – this can cause serious (sometimes fatal) infections because the bug has become resistant to currently available antibiotics.

Pregnant women who go into labour prematurely should be offered intravenous antibiotics to prevent transmission of Group B Streptococcal (GBS) to their baby, according to updated guidance by the Royal College of Obstetricians and Gynaecologists (RCOG).

Women who go into premature labour should be offered antibiotics to prevent a potentially deadly infection being passed to their babies, senior obstetricians have "In particular, we hope to reduce the number of early onset Group B Strep infections and neonatal deaths in babies born before 37 weeks.

  Pregnant Women In Premature Labour Should Be Offered Antibiotics To Tackle Group B Strep © Getty Pregnant women who go into labour prematurely should be offered intravenous antibiotics to prevent transmission of Group B Streptococcal (GBS) to their baby, according to updated guidance by the Royal College of Obstetricians and Gynaecologists (RCOG).

The risks associated with GBS bacteria increase for babies born prematurely - the mortality rate from infection increases from 2-3% for babies born at term, to 20-30% for those born before 37 weeks.

For this reason, the RCOG guidelines now recommends all women who go into preterm labour receive intravenous antibiotics.

“We hope to reduce the number of early onset Group B Strep infections and neonatal deaths in babies born before 37 weeks,” said Professor Peter Brocklehurst, professor of women’s health at the University of Birmingham who co-authored of the guideline.

10 strange body changes that can happen in pregnancy

  10 strange body changes that can happen in pregnancy Some of these might come as a surpriseProbably more concerning for the singers amongst us, but our hormones can actually change the pitch of our voices. As pregnancy causes an increase in oestrogen and progesterone - which affect almost all parts of a woman's body, including lung capacity and muscle control - this can result in vocal cords swelling.

Women who go into premature labour should be offered antibiotics to prevent a potentially deadly infection being passed to their babies, senior obstetricians have said.

Group B Strep carriage does not require treatment until labour starts. At the start of labour , antibiotics should be offered to the mum to reduce the risk to the baby of developing group B Strep infection.

“Ensuring a consistent approach to care in all maternity units is vital to achieving the best outcomes for both mother and baby.”

The guidance also calls for all pregnant women to be provided with a leaflet containing “appropriate” information about GBS to support decision making and raise awareness of signs of the infection in babies, so it can be spotted early.

GBS is a bacteria that occurs naturally in the lower vaginal tract and is carried by about 150,000 pregnant women each year in the UK.

Most will suffer no ill effects, but in some cases they will pass the bacteria on to their baby during labour.

Women who go into preterm labour are at higher risk of passing GBS onto their baby - approximately one in 500 preterm babies will develop early onset GBS (which occurs in the first seven days of a baby’s life).

10 strange body changes that can happen in pregnancy

  10 strange body changes that can happen in pregnancy Some of these might come as a surpriseProbably more concerning for the singers amongst us, but our hormones can actually change the pitch of our voices. As pregnancy causes an increase in oestrogen and progesterone - which affect almost all parts of a woman's body, including lung capacity and muscle control - this can result in vocal cords swelling.

Testing all pregnant women for group B strep bacteria late in pregnancy (ideally between 35 and 37 weeks pregnant ). Giving antibiotics during labor to women who test positive for group B strep bacteria.

Also known as: Group B Beta-hemolytic Streptococcus ; Group B Streptococcus ; Group B Strep ; GBS However, testing should be performed to determine effective antibiotic therapy for women who are Group B strep screening is usually ordered when a woman is 35 to 37 weeks pregnant .

Incidence of early onset GBS appears to be rising in the UK, according to the RCOG, but with prompt treatment, 17 out of 20 diagnosed babies will fully recover.

However, two in 20 babies with GBS infection will recover with some level of disability, and one in 20 infected babies will die.

Aside from preterm birth, other risk factors for early onset GBS include having a previous baby affected by GBS, or prolonged rupture of membranes and a temperature of more than 38 degrees during labour.

The updated guidance also advises that women who were known carriers of GBS in a previous pregnancy can be offered a test at 35-37 weeks of pregnancy to see whether they are still a carrier, in order to reassess whether they still require antibiotics during labour.

In January 2016  a couple appealed for screening for GBS to be made available to all pregnant women, after their baby died from an infection that could have been prevented if caught early.

We Need To Stop Asking Women Whether They Plan To Have A Baby

  We Need To Stop Asking Women Whether They Plan To Have A Baby Here's a rule that's really easy to follow: don't ask a woman when or if she's going to have a child.It doesn't matter if she has no children or one child or ten. It doesn't matter if you're just passing the time of day or if you feel you have a right to know the answer. You don't. So don't ask. Just don't do it.

Group B Strep Support. For women who carry gbs. You have probably been told you carry group B streptococcus (GBS). However, all the evidence clearly demonstrates the clinical effectiveness of testing pregnant women for GBS and offering intravenous antibiotics in labour to

Instead, women may be offered antibiotics during labour if they have a raised chance of having group B strep and passing it to their baby. All rights reserved. page 2 of 3. Group B strep infection in newborns. all babies who are at risk should be given antibiotic treatment.

However, the revised guideline do not recommend universal screening for GBS, in line with recommendations made by the National Screening Committee (NSC).

It found that there is no clear evidence to show that routine testing would do more good than harm.

Speaking in February Dr Anne Mackie, director of programmes for the UK NSC, said: “At the moment there is no test that can distinguish between women whose babies would be affected by GBS at birth and those who would not.

“This means that screening for GBS in pregnancy would lead to thousands of women receiving antibiotics in labour when there is no benefit for them or their babies and the harms this may cause are unknown.

“This approach also cuts against the grain of ongoing efforts to reduce the number of people receiving unnecessary antibiotics.

“Much better evidence is needed on such widespread antibiotic use among pregnant women and whether it is possible to find a more accurate test.”

The charity Group B Strep Support has welcomed the update to RCOG’s clinical guidance.

The charity’s chief executive Jane Plumb said it “represents a significant improvement in the procedure to prevent Group B Strep infection in newborn babies”.

Advice to cut all drinking during pregnancy based on ‘generally weak’ evidence

  Advice to cut all drinking during pregnancy based on ‘generally weak’ evidence Researchers found very little evidence that light drinking in pregnancy causes harm to babies.They said Government recommendations that women stop drinking altogether in pregnancy was based on “generally weak” evidence.

Group B Strep carriage can come and go over time and does not require treatment until labour starts. Babies born to mums who are colonised with group B Strep are at higher risk of becoming infected.At the start of labour , antibiotics should be offered to Mums carrying group B Strep to

If the woman is allergic to penicillin, offer clindamycin unless individual group B streptococcus sensitivity results or GBS-colonized women should receive intrapartum antibiotic prophylaxis. Antibiotic therapy in preterm premature rupture of the membranes. 2009 (Yudin) 5. Antibiotics of

“When fully implemented across the UK, we believe this change will make a real difference and we will see the rate of infections start to fall,” she said.

“We are delighted that the guideline recommends all pregnant women are provided with an information leaflet on GBS.

“Group B Strep Support has been working closely with the RCOG to develop this leaflet, which will significantly improve the quality and regularity of information on GBS.

“We are confident that this increased access to clear, concise information will play a vital role in raising awareness of GBS and empowering women to make informed decisions throughout their pregnancy and in the early days after birth.”

Signs And Symptoms Of Early-Onset Neonatal Infection

Parents and carers should seek urgent medical advice if they are concerned that their baby:

  • is showing abnormal behaviour (for example, is inconsolably crying or listlessness)
  • is unusually floppy
  • has developed difficulties with feeding or with tolerating feeds
  • has an abnormal temperature unexplained by environmental factors (lower than 36°C or higher than 38°C)
  • has rapid breathing
  • has a change in skin colour.

Women Who Miscarry After First Round Of IVF 'More Likely To Have A Baby' After Further Treatment .
Women who miscarry during their first full round of IVF are more likely to have a baby after further treatment, than women who don’t get pregnant at all, a study has found. Researchers from the University of Aberdeen, who studied more than 100,000 women, hope the findings will provide comfort to those who are devastated when a much-desired IVF pregnancy ends in a miscarriage.

—   Share news in the SOC. Networks

Topical videos:

This is interesting!