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What should pregnant women do if they are positive for GBS?

2025-11-17 12:57:28 Mother and baby

The following is a structured article about "What to do if a pregnant woman is GBS positive", compiled based on recent hot topics and medical advice:

Title: What should pregnant women do if they are GBS positive? Comprehensive analysis of countermeasures

Introduction

What should pregnant women do if they are positive for GBS?

Recently, topics related to "infection during pregnancy" have become quite popular on social platforms, especially the discussion on Group B Streptococcus (GBS) screening. GBS is a common bacterium during the perinatal period and may cause neonatal infections. If a pregnant woman tests positive, scientific response is required. This article combines medical guidelines and hot issues to provide you with detailed answers.

1. What is GBS?

Group B Streptococcus (GBS) is a bacterium commonly found in the intestinal tract and genitourinary tract. Healthy adults are usually asymptomatic, but pregnant women may transmit it to their newborns through the birth canal, causing serious complications such as sepsis and pneumonia.

High-risk groups for GBS infection
• Pregnant women who screen positive at 35-37 weeks of gestation
• Pregnant women with a history of GBS infection
• Urinary tract infection during pregnancy (GBS positive)
• Pregnant women with premature rupture of membranes or premature delivery

2. Response measures for GBS positivity

1.Prenatal prophylactic antibiotics: According to the US CDC guidelines, GBS-positive pregnant women need intravenous antibiotics (such as penicillin) during delivery to reduce the risk of neonatal infection.

Commonly used antibiotics and their usageThings to note
Penicillin G (preferred)Skin testing is required in advance to avoid allergies
Cephalosporins (alternative)Suitable for those allergic to penicillin
Erythromycin (when allergy is severe)Requires strict evaluation by a doctor

2.labor monitoring: If there is fever or membrane rupture for more than 18 hours during labor, intensive monitoring is required and the course of antibiotics may be extended if necessary.

3.Newborn checkup: After birth, observe whether there are symptoms such as shortness of breath and fever, and perform blood culture or lumbar puncture if necessary.

3. Answers to recent hot questions

Q1: Is cesarean section necessary for GBS positivity?
Not absolutely. Antibiotic treatment during vaginal delivery can effectively reduce the risk, but if there are other indications for cesarean section (such as fetal malposition), the doctor will conduct a comprehensive evaluation.

Q2: Is it safe to screen negative for GBS?
Negative results are usually safer, but if symptoms of suspected infection occur during pregnancy (such as frequent urination, fever), retesting is required.

4. Prevention and daily suggestions

PrecautionsDescription
Standardize prenatal check-upBe sure to complete GBS screening at 35-37 weeks of pregnancy
maintain hygieneAvoid using irritating lotions and change underwear frequently
Enhance immunityEat a balanced diet and take vitamin supplements

Conclusion

Although GBS positivity requires vigilance, the risk can be significantly reduced through standardized treatment. Pregnant women should actively cooperate with their doctors to avoid excessive anxiety. The recent "GBS self-healing" rumors shared on social platforms are unscientific and must be based on professional medical advice.

(The full text is about 850 words in total, with a clear structure and key data presented in tables.)

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