08/08/2021
Group B Streptococcus, also known as GBS, is a common bacteria found in the digestive tract, urinary tract, and re**um of both sexes, as well as in the va**na for women. Just like most bacteria that make up your body, you likely never even know that you have it. Most men and women have zero symptoms and it causes zero issues. But, in a medicalized birth, it is a routine procedure (my conclusion is that it is unnecessary and inaccurate I'll share why below) that a provider will test you for. Their reasoning is because it can be *fatal* to a baby if they become infected when passing through the birth canal.
Around 37 weeks, you would be swabbed both va**nally and anally, then the swab would be sent off to a lab to see if you carry the bacteria. Studies show about 1 in 4 or 25% of pregnant women will test positive for it. If you are positive, the protocol is to hook you up to IV antibiotics for 2 hours while in labor.
Again this bacteria is generally not harmful, and is very common. I'll even add that 40% of both men and women are positive at any time in life when tested worldwide. There is nothing wrong with you if you carry GBS.
One main issue with this routine procedure is that the testing is inaccurate because the bacteria can come and go, aka be passed and repopulate, every 24 hours given it is in areas that bring in + filter out waste or have self cleaning mechanisms. So, testing for this at 37 weeks, means that the results do not give you any sort of indication on if you will be positive during labor. You may test positive, and be negative by the time of labor, or you may test negative, and be positive by the time of labor. The results truly mean nothing.
Another issue lies in the fact that antibiotics are not only damaging to mom's microbiome, but baby's too. A damaged microbiome leads to countless health issues. Medical journals tell us that it takes at least 2 years for the gut to heal, repopulate, and seal, after being exposed to antibiotics.
Probably the most important thing to note, is that studies show only around 1% of babies who's mothers do carry the bacteria will become infected. Which again, you wouldn't even know from the test because it can change daily, as well as carrying it is not the same as infection from it. So giving birth with GBS, even if you do happen to have it, does not mean your baby will be affected. That is a very very low chance of harm.
So my questions are: Why accept an invasive test that tells you nothing? Why accept harmful antibiotics for likely no reason?
If your baby is in the 1% that does become infected, they will need to be treated with antibiotics themselves. So why pump them full of antibiotics during labor and then after birth too? Especially when the antibiotics during labor do not have 100% efficacy. You could receive antibiotics and it not even change the outcome. Yes, it is sad that some babies do suffer from issues such as pneumonia, sepsis, and meningitis due to GBS, but unfortunately, the test nor the antibiotics can protect them for sure.
Most other countries do not even offer this testing. They practice the watch and wait approach, this is what I also recommend. Which means that you do not test and do not get antibiotics, you simply watch baby after birth for symptoms and wait to treat if necessary.
What are the symptoms of GBS infection in baby?
Fever, extreme irritability, true lethargy, uninterested in feeding, blue toned skin, and difficulty breathing.
Now, of course you can always decline the testing or decline the antibiotics, but do be aware that in a hospital setting they will tell you that they have to keep you and baby for an extra 48 hours to observe them. With a home birth, obviously a midwife doesn't do that though, but many still unfortunately push for the testing, will offer antibiotics, or may give you the option of a Chlorhexadine va**nal wash which is pretty toxic as well.
As always, I know some people will ask if there are safe alternatives for treatment. Although I personally do not test for this myself, suggest it, or do any purposeful prevention, I will still give those.
So what can you do prior to testing if you so choose and/or until birth to keep the bacteria at bay?
Probiotics, vitamin c, echinacea, raw garlic (orally or va**nally), grapefruit seed extract, and apple cider vinegar (va**nal rinses or baths) have been shown to be effective for cleaning out the bacteria and keeping it at bay. Fun fact, birthing in water reduces your chances of spreading the bacteria to baby as well!
I'm sure someone will mention it, so I will specify that in this post I covered mainly early onset GBS, which is when mom passes it to baby during birth. But there is late onset, which is due to transmission from someone who may have it on their hands then comes in contact with baby - no surprise here but 45% of cases happen due to hospital workers touching baby. And then there is also prenatal onset which happens when mom is heavily colonized and it affects baby within the womb. Late onset and prenatal GBS have absolutely nothing to do with this testing or delivery protocol.
This post was a long one, but I hope it helps you start your research and come to an informed decision - thanks for reading!