Group B Streptococcus Screening during Pregnancy

What Type of Follow-up Exists After My Baby Is Born?

Whether you were treated with antibiotics during labor or not, if you’re a GBS provider, your baby’s medical group will observe him closely for signs of infection.

Studies show that 90 percent of babies who get early-onset GBS disease start to show signs of sickness within the first 24 hours of life. These signs consist of difficulty breathing, unusual irritability, uncommon limpness or extreme stiffness, feeding problems, sleepiness (a baby who’s hard to wake up), seizures, and an unstable temperature level. If your baby’s rooming in with you or you’re already home and you see any of these issues, get help instantly.

If the medical team has any concern that your baby is infected, they’ll do a full workup, consisting of blood tests and, depending on the scenarios, a chest X-ray and a spine tap, and start him on antibiotics right away.

If your baby reveals no signs of infection, you can typically take him home after a day or 2.

If you ‘d like an early discharge, your baby’s doctor might consent to discharge him after 24 hours as long as:.

  • You got antibiotics a minimum of 4 hours prior to birth.
  • There were no signs of infection during labor.
  • Your baby is full-term, appears healthy, and has no other issues.
  • You’re able to totally understand the doctor’s particular instructions for observation at home.
  • You have quick access to medical care.

Otherwise, your baby will have to stay in the hospital for at least 48 hours for observation.

If your baby was born prematurely, he’ll probably have actually some testing done and may have to remain longer, even if you were dealt with during labor and he shows no signs of infection. This is since premature infants are most likely to get GBS disease and tend to be sicker if they do get it.

Can My Baby Get a GBS Infection Later?

It’s possible for a baby to establish a GBS infection after the first week (usually within three months). This is called late-onset GBS disease, and it accounts for about half of all newborn GBS disease.

Late-onset GBS can cause the very same problems as early-onset GBS and affects about the very same variety of babies, 0.3 out of every 1,000. As with early-onset GBS, children born too soon are more at risk. Meningitis is more common with late-onset disease.

Whether or not you test favorable for GBS, if your baby seems ill to you or simply does not look right, look for help right now. Signs that you should call your baby’s doctor include sleepiness, uncommon irritability, bad feeding, vomiting, and fever.

Is there any method to avoid late-onset GBS?

Receiving antibiotics during labor won’t prevent late-onset GBS disease. In truth, only half of the babies who get late-onset disease have mothers who are GBS carriers. No one knows how the others get infected with the bacteria, so prevention is challenging.

Researchers are dealing with a group B strep vaccine they hope will get rid of both early- and late-onset disease, in addition to the requirement for testing and treatment. It may also prevent unusual maternal GBS disease and possible unfavorable effects on pregnancy.


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