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GBS test with c/s?

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  7640.1
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  Sep-28 8:53 pm

Hi all...does your doctor perform the Group B Strep test with a planned c/s?  Mine says I have to do it, but I don't want to...wasn't exactly pleasant last time.  Not a huge deal, but I'd skip it if I could.

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GBS test with c/s?

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  7640.2 in response to 7640.1
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  Sep-29 4:22 pm

My doctor doesn't do it for C sections, but I know that others have different theories. I think you'd be okay to ask  the following questions:

1) Why would I need a GBS test?  They typically can't give you antibiotics and have them take effect in the time that it normally takes to deliver baby via a C section.  So, are they just doing it so that they can monitor baby MORE once he/she arrives? I think understanding what your doctor wants to do with the information and/or how it might change your course of treatment would be helpful. They may say that they'd order different blood work for baby after birth if they knew you were positive - in which case, perhaps your middle ground is just to ask them to do that test. (It shouldn't be an extra poke for baby!)

2) Ask what happens if you refuse the test. You have choices - so it's up to you if you want to do it or not...  you can ask what the implications are for your care and for your baby's care if you choose to refuse the test. This may also tell you something about your doctor if he/she gets defensive.

Good luck!! Congrats on your little boy! :)

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GBS test with c/s?

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  7640.3 in response to 7640.2
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  Sep-29 11:36 pm

Thanks!  My practice has 5 docs and I'm seeing my favorite tomorrow.  I'm going to talk to her about it and then try to schedule my 35 week appt with the doc (my 2nd favorite!) who will be doing my c/s.  I kind of "had words" about it with my least favorite doctor, so we'll see what the non-crazies say. :-)

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GBS test with c/s?

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  7640.4 in response to 7640.3
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  Oct-5 6:07 pm

I've wondered why that's necessary. Ask how group b strep is passed- all thought it was through the vagina. I have had it all 5 times with my c-sections, even as they were preparing to do the c-section and I just don't get that.
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GBS test with c/s?

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  7640.5 in response to 7640.4
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  Oct-12 11:50 pm

I asked my doc and she said that they do it in case my water breaks prior to the c/s. I didn't press her further about when it was actually transmitted b/c I hadn't read your post yet. She did said, however, that the reason her practice does it is because the CDC still recommends it. She said that in her own mind, she doesn't see that it's really necessary b/c I will be getting antibiotics through the IV during the c/s regardless and she's heard "buzz" that the CDC may someday change the recs based on this. I didn't put up too much of a fight, though, since it will be good for me to know if I have it. IF I go into labor prior to my c/s and things are progressing quickly, I still may attempt a VBAC.

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