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Can pregnant women be checked for gbs colonization?
A positive culture result means that the mother is colonized with GBS. It does not mean that she has Group B Strep disease or that her baby will become ill. Rather, a positive test means that a woman and her doctor need to plan for her labor and delivery with this test result in mind. The results of GBS cultures should be available at delivery. If they are not available, a woman should not hesitate to tell a doctor or nurse her results as soon as she arrives in Labor and Delivery.
If you are pregnant, ask your healthcare professional about testing for GBS. If the test is not offered, you should request it. Ask to be cultured for GBS during pregnancy, discuss treatment plans with your doctor, and tell your baby's doctor, pediatrician, or newborn nursery nurse about your culture result. By doing these things you can help prevent a GBS infection.
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What are a mother's risk factors for developing GBS disease?
Positive culture for GBS colonization at 35-37 weeks
Having already had a baby who had a GBS infection
GBS bacteria in urine (bacteriuria, either with or without symptoms)
Membrane rupture (having your "water break") more than 18 hours before delivery
Labor or membrane rupture before 37 weeks
Developing a fever in labor (higher than 100.4 F)
Black race
Age less than 20 years
The baby's doctor and nurse should be told if the mother has any of the above risk factors.
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