Know how to . help. protect. your baby. f. rom infection!. This presentation is for informational purposes only. and does not constitute medical advice.. . Some people think it. ’. s best to keep. ID: 465417
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Advocating for Your Unborn Child During Pregnancy and Beyond~
Know how to
help protectyour babyfrom infection!
This presentation is for informational purposes only
and does not constitute medical advice.Slide2
Some people think it
s best to keep
thoughts from pregnant
knowledge can empower you to be
our baby’s best advocate!Slide3
It’s important for pregnant women to know that
some germs they may carry
an cause their baby to…
die during pregnancy (miscarriage/stillbirth)
even before their water breaks
prematurely because germs caused their water to
/or labor to begin too
even die after being
as blindness, deafness, mental challenges, and cerebral
So how does that
knowledge empower me?
I can do
That knowledge can empower you
to become aware of the
you can help protect your
aby from infection
become a better advocate
for your baby’s health!Slide6
Offer your care providers a checklist early in pregnancy to help protect your baby from infection and be aware that…Slide7
Make sure your urine is cultured* for GBS and other bacteria during at least your first prenatal visit. *This is not the standard urine dipstick test done at most visits!If significant bacteria is found in your urine, you should receive appropriate treatment…and then ask for a “test of cure.”Request follow-up urine cultures if your urine has tested positive. And….
in your urine can mean that you
heavily colonized which can put your baby
at a greater risk for infectionSlide8
have a positive urine culture for GBS,
and know that you should receive IV antibiotics
for GBS when labor starts or your water breaks.
copies of your lab test results and keep them in your purse/wallet
See your care provider promptly for any symptoms of vaginal infection!Make sure you are evaluated – not all problems “down there” are due to a yeast infection even though symptoms may be similar.Follow through with prescribed treatment and request a “test of cure” about three weeks afterwards. You can also….
If you have a vaginal infection,
your baby can be infected before and during
Consult with your provider first
before you check your vaginal pH during pregnancy. R
outine weekly vaginal
can help detect early symptoms
of infection so
you can follow up with your provider.
Be aware that bacteria, viruses, and other microorganisms can be
back and forth between sexual partners
. Do not have a new sexual partner during pregnancy.Slide11
Make sure you have the appropriate testing done including testing for GBS during your 35th-37th week of pregnancy. Talk with your care provider about being tested for STI’s, hepatitis B, and HIV. Request copies of all test results and keep them with you so they are available when you arrive at the hospital in case their records are not current.If you have cultured positive for GBS, make sure that you receive IV antibiotics for GBS as soon as possible once labor starts or your water breaks.
Prenatal testing can help you and your care
providers be proactive in your baby’s healthSlide12
Be aware that alternative
proven to be
GBS. Some remedies can even be unsafe
Be aware that GBS can come and go in your body so you may
test negative during pregnancy,
but be positive during labor and
delivery. A few hospitals offer rapid, DNA-based tests which can
be performed during labor or any time during pregnancy with results
in less than 2 hours. Because your GBS status can change by the
time you go into labor, culture tests can show a false negative, or your
culture test results may not be available, these rapid tests can help
supplement your routine GBS testing.Slide13
Avoid unnecessary internal exams. Internal exams can tell how far you are dilated, but do not accurately predict when your baby will be born.Talk to your care provider about the benefits vs. risks of methods of induction. Applying cervical ripening gel and “stripping membranes” can push bacteria closer to your baby. Be aware that during an internal exam care providers may elect to strip your membranes without any forewarning! Some experts suggest CONSENT be obtained before membrane stripping especially when GBS +.
Invasive procedures can move germs
closer to your
even past a mucous plug
and through intact
Ask your care provider about the benefits vs. risks of internal fetal monitors as the puncture it causes on your baby’s scalp may be a point of entry for infection
. (The IV antibiotics you
receive in labor for GBS generally take 4 hours to
Know the signs of infection in your baby during pregnancy…
Decreased or no fetal movement after your 20th week of pregnancy – this is why kick counting is so important! (Be aware that hyperactive or frenetic movement can be a sign of distress. Example: your baby becoming entangled in his/her cord) You have any unexplained fever.
Contact your care provider immediately
if you notice any of the above!
Babies have underdeveloped immune systems sowhile you are pregnant…
Wash your hands thoroughly after taking care of young children
who can carry germs such as CMV even without appearing sick.
Avoid kissing young children on or around the mouth as they can carry
CMV and other germs.
Have someone else change your cat’s litter box to avoid toxoplasmosis germs
which can harm your baby. Wear gloves when gardening!
Handle food properly and don’t consume any unpasteurized food products,
soft cheeses, or undercooked poultry or meat to avoid listeria and other germs.Slide17
and after your baby is born…
(including the hospital staff!) wash their hands
before touching your baby.
Be especially cautious so that your baby does not come into contact
with any germs from cold sores (herpes).
BREASTFEEDING IS ESSENTIAL FOR PASSING ANTIBODIES
TO YOUR BABY. (Breast milk is BRAIN and IMMUNITY food!)
Ask about immediate placental examination in the delivery room. Examination of the placenta immediately after delivery may offer clues to help your new baby, you, or your future babies and offer valuable insight as to your baby’s environment before birth.Ask for pathology testing/autopsy if your baby dies. Testing may reveal clues not only for your own closure, but to help your future babies be born and stay healthy!
Your baby’s body and placenta can give
important clues to his/her
High-pitched cry, shrill moaning, whimperingMarked irritability, inconsolable cryingConstant grunting as if constipatedProjectile vomitingFeeds poorly or refuses to eatSleeping too much, not waking for feedings, difficulty being arousedHigh or low or unstable temperature; hands and feet may still feel cold even with a fever
Blotchy, red, or tender skinBlue, gray, or pale skin due to lack of oxygenFast, slow, or difficult breathingBody stiffening, uncontrollable jerkingListless, floppy, or not moving an arm or legTense or bulgy spot on top of headBlank stareInfection at base of umbilical cord or in puncture on head from internal fetal monitor
able to recognize
in your baby for
Knowing how you
protect your baby from
aking a checklist
artnering with your care providers to advocate for
…can help you have a…Slide22
For more information on Group B Strep
nd prenatal infection prevention
Please note: This presentation contains only
of the many ways to help prevent infection in your baby
so as always seek advice from your care
for informational purposes
and does constitute medical advice.Slide23Slide24Slide25Slide26Slide27Slide28Slide29Slide30Slide31Slide32