Browsing Tag

midwife

Pregnancy

What is the Group B Strep Test?

If you’ve got Group B strep during pregnancy, you might not even know! Testing positive for this strain of bacteria sounds super scary – but there are ways to help keep you and baby healthy during pregnancy and delivery.

What is Group B Streptococcus?

Group B Streptococcus, or GBS, is just one of the many different types bacteria that normally live in our bodies. These bacteria live harmoniously in our bodies without us even knowing, aiding with digestion, helping to boost our immune systems and generally keeping us functioning optimally.

How will I know if I have GBS?

The GBS screening test is a vaginal and rectal swab performed at approximately 35-37 weeks of pregnancy to test for the presence of Group B Strep bacteria.

How common is it?

GBS naturally occurs in about 10-30% of healthy pregnant women and has a 1% chance of passing from mother to baby during labour.

How will Group B Strep affect my baby?

In newborns, GBS is a major cause of meningitis (infection of the lining of the brain and spinal cord), pneumonia (infection of the lungs) and sepsis (infection of the blood).

What’s the best way to prevent my baby from getting Group B Strep?

Sounds scary, but take a deep breath!  There is good news. Research shows that antibiotics given to pregnant women at the start of labour or from the time their membranes rupture (waters break) can prevent most GBS infections in newborn babies. If you are GBS positive, you will receive IV antibiotics when you are in active labour and /or if your water breaks.

Prevention?

Here’s even better news! Often a GBS positive result can be prevented before the screening test occurs.

Dr Sapna Flower, naturopathic doctor at Restore Integrative Health, offers these two recommendations to help decrease your chance of a positive result:

  • Take a high-dose, good quality oral Probiotic
  • Use a Tea Tree spray along the perineum (5-10 drops of tea tree in 1-2 cups of water in a squeeze bottle).  Apply spray to the perineal area after every trip to the washroom – starting at 32 weeks

If you’ve had a history of vaginal infections, seeing a naturopathic doctor can also be beneficial during pregnancy.

 

Pregnancy

Q&A: Should I get a Midwife or a Doula?

Q. I’m pregnant with my first baby and a friend of mine suggested I hire a doula for labour and delivery. What exactly is the difference between a midwife and a doula?

A.  Although a midwife and a doula may seem very similar in their approach toward childbirth, their roles differ quite significantly.

In Canada, midwives are trained and licensed medical professionals providing care to women during pregnancy, labour and delivery.

Doulas are not health care providers, but instead offer guidance as well as physical and emotional support to the mother and her partner during the pre and post-natal periods as well as during childbirth. She provides physical support to the labouring mother including gentle massage, guided breathing and positional support. A doula often provides education and information to the couple so that they can make informed choices in their birthing experience.

Here are few things your midwife will do:

  • Run prenatal tests and monitor your health and the baby’s health during pregnancy, birth and post-partum period
  • Prescribe maternal health related supplements or medications
  • Perform physical examinations
  • Consult with an obstetrician (OB) if a medical complication comes up which is out of the midwifery scope
  • Do their best to help you experience a comfortable birth

Here are a few things your doula will do:

  • Give you information about medical examinations and procedures (but cannot perform these procedures)
  • Establish a pre-natal relationship with you and help you figure out your “birth plan”
  • Help keep you and your partner feeling calm and supported during labour
  • Use a variety of tools and techniques to help you manage the intense physical sensations of labour and birth
  • Ensure you feel comfortable and confident communicating your needs to your health care provider
  • Provide any post-partum help and support

Although doulas do not provide medical care, research has shown that having a doula present throughout birth decreases the likelihood of using medical interventions such as instrument-assisted births (forceps, vacuum extraction) and c-section births. Furthermore, women who use doulas report having more positive feelings about their childbirth experience.

Research shows that having a doula present throughout birth decreases the likelihood of using medical interventions.

Many women often choose to have a midwife and a doula supporting them through labour and childbirth providing a perfect complement of knowledge, care and comfort for the mama-to-be.

Recently I became a Doula after taking the DONA International Doula Course at The Toronto Yoga Mamas.  A few weeks ago, I attended my first birth and it was one of the most amazing experiences of my life!  If you have any questions about doulas or my role as a doula, please feel free to send me a message at hello@draliya.ca.

Find my Q&A expert column and other great mama and baby advice & resources at babypost.com.

(Original post at babypost.com)

(Photo by babypost.com)