The Updated Evidence on Group B Strep: Part 2
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- Опубликовано: 29 авг 2024
- In this episode, we continue to bring you the Updated Evidence on Group B Strep in Pregnancy. This is Part 2 of a 2-part series, where we talk about the evidence on alternative treatments for GBS and answer some of your FAQs about this hot topic.
In Part 2, we’ll be talking about:
The “Other Risk Factor approach,”
Alternatives to antibiotics for GBS, including Chlorhexidine and garlic,
Vaccines,
Probiotics,
Topical use of human milk,
Address frequently asked questions
Review the Guidelines from 3 countries
We wrap up with the Bottom Line on the Updated Evidence on Group B Strep in Pregnancy.
Content Warning: GBS-related stillbirth, infant death, critical illness of newborns, vaccines, antibiotics, and racial disparities in GBS positive results and GBS disease in newborns.
References and Resources:
For a full list of scientific references, see the blog post that goes along with this episode here.
Find about more about colloidal silver here
Learn more about Neonatal Sepsis here
Learn more about the National Guidelines for screening and treating GBS in the USA, UK, and Canada:
Guidelines in America:
ACOG Recommendations for Prevention of Group B Strep Early Onset Disease in Newborns
AAP Guidelines for Management of Infants at Risk for Group B Strep Disease
Guidelines in the United Kingdom:
United Kingdom National Screening Committee Recommedations
Recommendations from the Royal College of Obstetrians
Guidelines in Canada
Recommendations from the Society of Obstetrians and Gynaecologists
Recommendations from the Association of Ontario Midwives
Go to our RUclips channel to see video versions of the episode listed above!!
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Thank you very much for making this information available for free. I listened to both parts. My eldest daughter had suspected GBS sepsis as a newborn. I am now pregnant with my second baby and this wealth of information has helped me better understand what happened and to make an informed decision this time around.
I still feel there isn’t enough evidence on alternatives to say that synthetic Antibiotics are the “best” option. But I think you providing unbiased facts helps to make the assessment myself on whether the risks outweigh the benefits or not.
Thank you for this transparent evidence that my doctor declined to provide. So happy to find your channel
Thanks for a thorough look! I do think you've missed the "childcare" approach though. I know in the US its pretty standard for people to be discharged from the hospital within a day, and then not see a pediatrician until towards the end of the early GBS window. But in my country (Germany) its standard to stay in the hospital for at least 4 days. For example, I wasn't tested for GBS and also didn't receive antibiotics, but my daughter had her temperature checked by a medical professional every 4 hours during those 4 days. This was standard practice for my situation (no test & no antibiotics). I'd be curious to know the efficacy of this strategy, because I fear in 10 years or so we'll be experiencing quite bad rates of GBS deaths due to antibiotic resistance. I had also heard that not removing the vernix caseosa also offered benefits (i.e. colonization with GBS but less development of disease). I don't feel like this podcast answered whether prophylaxis (i.e. standard US care) is better than putting resources towards early detection of GBS disease in infants (i.e. observations during the risk window, probably also having universal health care...). Probably there is an answer already known, but I haven't been able to find it! And probably someone familiar with the trajectory of GBS disease could answer my questions easily.
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Hi from where can i get the vaccine