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What does a positive GBS indicate? What is GBS? Does it mean a bacterial infection? Is it worth doing additional tests, such as gastroscopy or colonoscopy? The question is answered by the drug. Anna Mitschke.
What does a positive GBS indicate?
Hello. I am 31 years old and 29 weeks pregnant. Of course, I am under the constant care and supervision of a gynecologist, until then the pregnancy was smooth, only the symptoms typical of pregnancy, but according to the doctor, nausea and vomiting persisted for too long, I also suffer from constipation, which unfortunately does not disappear after herbal teas or tablets , digestive system ailments occur despite the fact that I am on a diet rich in vitamins and ingredients necessary for the child’s development.
The gynecologist decided that I should have additional checkups and yesterday I received the results which say that I have additional GBS. What does it mean? My guess is that GPS is some kind of bacteria, but the bacteria don’t always have a negative effect on the body, is that the case here? What does GBS positive mean, whether I am a carrier of this bacterium or if I have become infected.
I am worried because my appointment is only two weeks away, and my digestive ailments are getting worse. Should I perform additional examinations, e.g. gastroscopy, or maybe a colonoscopy, are these tests allowed during pregnancy? I am asking for an answer what does positive GPS mean?
The doctor advises on what to do in the event of a positive GBS in pregnancy
GBS is a group B streptococcus bacterium (Streptococcus agalactie). These bacteria can be found in the digestive tract, the anus, or the vagina. GBS is found in about 10-30% of healthy women. Usually, it is not accompanied by any symptoms. Pregnant woman carrier of GBS can be a source of infection for the newborn. Group B streptococcus causes early infections in newborns. The most common are respiratory diseases, pneumonia, sepsis, and meningitis. Infection occurs during childbirth.
For this reason, prophylactic examinations are performed in Poland to detect GBS carrier between 35 and 37 weeks of pregnancy. As a result, women in whom intrapartum antibiotic prophylaxis to prevent the newborn from becoming infected are detected. Prophylaxis in childbirth is also used in women with a history of this disease perinatal infection with GBS during one of the previous ones despite a negative result in the current pregnancy.
Another indication for antibiotic administration is the presence of Streptococcus agalactie in the urine of a pregnant woman. We use prophylaxis in women who have begun childbirth before scheduled GBS carrier testing. We also administer antibiotics to women whose results of testing for Streptococcus agalactie carrier are unknown, but who were admitted to the hospital 18 hours after the rupture of the membranes. An indication for prophylactic treatment are also women in whom the results of carrier tests are unknown, but at the same time have a fever ≥38 ° C.
During pregnancy, infection should not be controlled as it may come back quickly after stopping the medication. The antibiotics used are penicillin G, alternatively ampicillin. The full preventive effect of the antibiotic is obtained by administering it at least 4 hours before the end of labor. I suggest consulting the results of the tests with the attending physician, who will decide on the further procedure and clarify any further uncertainties.
— Lek. Anna Mitchke
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