Group B Streptococcal Infection: Beyond the Mysteries

How to explain that group B streptococcal (GBS) infection, today the most significant cause of neonatal bacterial sepsis, suddenly emerged in the 1960s?

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The Revolution So Far

Diana Paul gets readers up to date on the Birth Revolution. ‘The Birth Revolution is like the slow food movement–it takes time to cook, it tastes best in community and a small taste leaves you wanting more.

Collaboration Is Key

It is late evening and there is a definite chill in the air as I make the five-minute walk to my birth center from the nearby hospital. I wrap my arms around my torso in an effort to keep my body heat contained and I say a little prayer of thanks. I am thankful for many things. I’m thankful that I have a place to take my families when they need hospital-based care. I’m thankful that when we do have to make this trip, the mothers are treated with respect and compassion. I’m thankful that I am blessed to have excellent physician colleagues that I can call at any time to con-sult with. In order for me to provide excellent out-of-hospital care, all of these things are critical.

Healthy Pregnancy: Fish and Oils

A very informative article on nutrition in pregnancy, highlighting the importance of fish oils.

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The Beta Strep Dilemma

Group B streptococci colonize the vaginal and gastrointestinal tracts of healthy women, being present 15–45% of the time when recto-vaginal swabs are collected and cultured (Woods 2014). Women screened around the 37th week of pregnancy test positive 10–33% of the time (CDC 2010). These women should, according to the CDC Guidelines, re-ceive IV penicillin, ampicillin or an alternative antibiotic, when in active labor.

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Unhurrying the Moment of Meeting

It was my daughter’s third birthday and this was her question that started our day. Then, as we walked to nursery school, she asked, “When Halloween goes, where does it go?” I’m still working on an explanation for the spiraling movement of time, and the effort is helping me understand why my daughter talks so often about what she will do when she is a baby again. If Halloween will return next year, why not her babyhood, too?

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Nipple Thrush: How to Identify and How to Treat

There has been a huge increase in postpartum nipple thrush since the onset of the standard of antibiotic treatment in both GBS+ mothers and cesarean section births. Nipple thrush is frequently overlooked since the symptoms do not show up until anywhere from one to six weeks postpartum. Even then, the symptoms are very often poorly diagnosed as just poor latch, normal initial tenderness or let-down. There are clear differences between these symptoms and symptoms of thrush, but many times the mother is told to “tough it out” instead of getting the treatment that she and the baby need. Clearly, vast education would aid in being able to recognize the differences. With let-down, the sensation is as if there are threads (sometimes with little knots in them) that are behind the chest wall being pulled through the nipple and out.

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Fiji, the Land of Smiles

It is interesting how visions and dreams work out. I always had a feeling that I would visit Fiji. There was a sweet spot in my heart for this country long before I set foot on it.