Group B Streptococcus (GBS)

Understanding Prevention, Testing, and Treatment During Pregnancy

Family Medicine

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Last updated: Mar 24, 2025

What is Group B Strep?

Group B Streptococcus (GBS) is a type of bacteria that naturally lives in the digestive and reproductive tracts of both men and women. While typically harmless in adults, it can cause serious infections in newborns.

Key Facts

  • 1 in 4 pregnant women carry GBS
  • Carrying GBS is normal and usually harmless for adults
  • GBS can be passed to babies during childbirth
  • Early screening and treatment prevent most GBS complications

Testing During Pregnancy

When Testing Occurs

  • Routine screening between 36-37 weeks of pregnancy
  • Simple swab test of vaginal and rectal areas
  • Results typically available within 48-72 hours

Risks to Newborns

Untreated GBS can cause:

  • Pneumonia
  • Sepsis (blood infection)
  • Meningitis (infection of brain/spinal cord lining)

Treatment

Prevention During Labor

  • Intravenous antibiotics during labor
  • Usually penicillin or alternative if allergic
  • Must be given at least 4 hours before delivery

After Birth

  • Babies are monitored for 48 hours
  • Immediate treatment if signs of infection appear

Important Considerations

  • GBS status can change between pregnancies
  • New testing needed for each pregnancy
  • Having GBS does not mean poor hygiene
  • Treatment is highly effective when properly administered

When to Contact Your Healthcare Provider

  • If you go into labor before GBS testing
  • If you have questions about your GBS status
  • If you develop fever during labor
  • If your water breaks before labor begins

Prevention Tips

  • Attend all prenatal appointments
  • Complete GBS testing when recommended
  • Inform healthcare team of penicillin allergies
  • Know your GBS status before labor begins

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