“Recovered” for 3 years now strep B positive with pregnancy

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Zapper
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“Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Tue Sep 01, 2020 10:44 am

I am really hoping there is someone either with experience in this area personally for professionally to help guide me.

I had abx resistant cdiff in 2015-2017 treated only by 2 fmts via colonoscopy with donor stool. Even then it was over a year of rough recovery. I have not had any abx since.
I am now pregnant with my 2nd and being told I am strep B positive and will need to have IV abx for delivery to protect the baby. Everything I have read seems that not doing this puts the baby at an extreme risk, but for obvious reasons I am stressing out about a re-infection of cdiff and having to go thru 6+ months of misery before insurance approves the FMT.

My OB is consulting with a neonatal specialist to see the potential risks of not treating me and treating the baby immediately after delivery but I feel like no one would be comfortable with that senario. Obviously I’m not comfortable with any of it- how do I get thru this without putting myself or the baby at risk?

Seriously stressed out.

roy
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby roy » Tue Sep 01, 2020 10:58 am

This is a question for qualified medical professionals only.

Zapper
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Tue Sep 01, 2020 11:04 am

I understand completely. I guess I was just hoping there was someone that went thru a similar situation while pregnant post cdiff.

I am taking all medical advice from my OB at this time only but was just throwing it out there in case I could bring something to an appt that he could research etc.

Thank you.

Ali-Mar
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Ali-Mar » Tue Sep 01, 2020 11:47 am

Zapper, I am so sorry to hear that you have such a tough decision to make! I hope all go well for you and your baby.
Male 54, contracted C-Diff on Feb 5, 2020, diagnosed on March 2nd, Took Flagyl for 8 days, Vanco for 10 days, relapsed 5 weeks post-Vanco. finished Dificid Taper on June 20 relapsed two weeks later, had the FMT on July 14th, 2020

NS789
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby NS789 » Tue Sep 01, 2020 11:50 am

I'm so, so sorry that you're going through this, Zapper. I can only imagine how worried you must be.

As Roy said, only a doctor will know what to do. But I wonder if they can at least try to give you an antibiotic that's a low offender for C diff. Or maybe they can give you a C diff antibiotic at the same time as the strep antibiotic to try to keep things at bay.

I really hope you find a solution. Take care and keep us posted when you learn more from your doctor.
32 y/o female. Got C. diff in Feb. 2020. Prescribed Flagyl (10 days), then Flagyl again (4 days), then Vanco (10 days), then Dificid (10 days), then Dificid again (10 days), then a Vanco taper (5 wks), then a Dificid taper (2 mths) and finally recovered.

beth22
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby beth22 » Tue Sep 01, 2020 9:39 pm

You have to do what the doctors advise and not run any risks for yourself or the baby. If you delivered by C section, would you still have to have the antibiotics? I'm not suggesting that you do that, but is the strep systemic or limited to the cervix, birth canal?

Zapper
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Wed Sep 02, 2020 9:15 am

Hi Beth,
It’s limited to the birthing canal. However my OB will not have a csection without abx (which is understandable). I was able to deliver naturally with my first so he wants to go that route. He suggested taking probiotics which I started up again however not feeling that they will make much of a difference.

My next OB appt is in 2 weeks and hopefully by then he will have had a response from the neonatal specialist with their input on not treating mom and only treating baby etc.
the more research I do there are situations where mom was positive for strep b and delivered too quickly to administer IV abx and baby was fine so there is hope for a good outcome.
Just so stressful when it should be happy. Thanks for the response.

Caligirl
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Caligirl » Fri Sep 04, 2020 2:32 pm

I had a similar situation. I had JUST recovered from c diff when I was in labor and got an infection during labor that put my daughter at risk. My decision was to get the antibiotics and do whatever I could to protect my daughter, knowing the risks of c diff. Not going to lie, 8 days later I got c diff, but I would do it again in a heartbeat.

roy
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby roy » Fri Sep 04, 2020 3:22 pm

If you research it you will find that IV vancomycin is used if mom is allergic to the usual antibiotics.
That's worth discussing with your Dr.

Zapper
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Sat Mar 20, 2021 10:43 am

Update: I delivered my son (yay)! Uncomplicated natural birth that only took 1 hour total. It was super fast and super painful. Here’s the issue. They hooked me up to the abx anyway knowing it needs at least 2 hours to be effective when I checked in at 8cm.
Now I’m 3 days postpartum and having abs pains, on and off diarrhea, lethargy, and little to no appetite. I do not have any fever or other symptoms. I’m praying it’s just post partum stuff and not cdiff beginning to wreak havoc on me all over again.

beth22
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby beth22 » Sun Mar 21, 2021 12:56 am

Congratulations on the birth of your son! Hopefully, it is not c difficile, but if the D continues, get a test.

Bobbie
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Bobbie » Sun Mar 21, 2021 1:11 am

Zapper,

You’ve had a long difficult time. Congrats on the birth of your baby. As Beth said, call your doc if symptoms persist. Fingers crossed they won’t.

Zapper
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Sun Mar 21, 2021 10:50 am

Thank you for the congratulations ladies. The one thing that makes me keep thinking about it cdiff is that I have no appetite. I have urgency without having actual bowel movements mostly just mucus. Still no fever or abdominal pain.
I am six days postpartum now and have barely eaten enough for one day so it’s really catching up with me. I appreciate everyone here on this board and all the help that they have brought me. I am really praying that this is not a reinfection.

roy
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby roy » Sun Mar 21, 2021 11:16 am

You mention in another post that you were constipated and given golytley!
Highly likely that's why your stomach is "off"

Congrats on the baby.

Zapper
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Re: “Recovered” for 3 years now strep B positive with pregnancy

Postby Zapper » Sun Mar 21, 2021 11:20 am

Roy, very true.
I had hyperemesis gravidarum during my pregnancy and was taking zofran daily that made me constipated. That along with delivery I think contributes to the fecal impaction. I didn’t want to do the prep but the ER doc said it was necessary as I would have difficulty passing the rest of all my stool too (with my tearing and stitches from delivery)

It’s been a lot of trauma to one single area. The mucus and urgency is what is bothering me most. Then the loss of appetite and weakness while trying to care for a toddler and newborn.


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