Water birth: is the water an additional reservoir for group B streptococcus?

Abstract:

OBJECTIVE:Water birth became popular in the last years, despite the fact that many questions like the risk of infection for the newborn remain unanswered. Group B streptococcal (GBS) infections in the newborn remain a challenge in obstetrics and neonatology. METHOD:We conducted a prospective trial to study the impact of water birth on the colonization rate of the bath water and, more importantly, the GBS-colonization rate of the newborn. RESULT:After water birth the bath water was significantly more often colonized with GBS than after immersion followed by a delivery in bed. The newborns, however, showed no difference in GBS colonization and there was even a trend towards less GBS colonization of the newborn after a water delivery. CONCLUSION:Regarding GBS colonization of the newborn during water birth there might be a wash out effect, which protects the children during the delivery.

journal_name

Arch Gynecol Obstet

authors

Zanetti-Dällenbach R,Lapaire O,Maertens A,Frei R,Holzgreve W,Hösli I

doi

10.1007/s00404-005-0067-1

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

236-8

issue

4

eissn

0932-0067

issn

1432-0711

journal_volume

273

pub_type

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