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Feeling worried and a little p*ssed off at the clinic

Apr 11, 2013 - 12 comments

So I haven't actually posted on here about this but I had a scare two weeks ago and ended up going to hospital.  I woke up at about 3am in the morning needing to pee for about the 10th time that night.  So I had a pee and got back into bed and suddenly had the urge to go again like my bladder wasn't empty.  I got back up and tried to pee again but nothing would come out.  I got back into bed and still had that feeling like I needed to pee.  I tossed and turned for a while and then decided to go downstairs and lie on the couch as I didn't want to wake up Joaquim.

So I'm lying there and suddenly get these horrendous stomach pains which just got worse and worse.  I thought perhaps it was my bowel so I tried to go number twos.  A bit came out and then I lay back on the couch. Pains got worse so I tried to go to the loo again, a bit more came out but not that much.  The pains got so bad I called out to Joaquim as I was writhing in pain on the floor.  He came rushing down the stairs and by this time I had shooting pains in my vagina, I thought for sure I was loosing the baby.  Anyway he helped me to get dressed and we got in the car and headed to hospital.  On the way there the stomach pains just stopped.  I'm not sure if it was the paracetamol I took or if they would have just stopped anyway.  The vagina pains were still bad so we continued to hospital.  I got there and demanded they they check my cervix straight away which they did and it was closed. By this time the uncomfortable urge to pee had stopped  They then took my urine and did a vaginal swab and said the results wouldn't be back for a few days.  I was there for a few hours but because they couldn't find any reason for the pain they sent me home.  

So after this episode I haven't really had any more tummy pains, only mild pains in my vagina which they say is normal.  So yesterday I had my fortnightly cervix check and consultation at the high risk clinic (which is the same hospital I went to for the pains) and was telling the doctor about my scare.  I said to her it's strange because there was no infection (I assumed this because no one had rung me to tell me otherwise) yet the need to pee was so bad.  She then looked at my notes from the hospital visit and said yes you do have an infection - your urine came back positive for UTI and your vaginal swab also came back positive for Strep B.  She kind of played it down and said it's not that serious and gave me a prescription for antibiotics.  She told me not to be worried about it and a lot of pregnant ladies have this type of infection and didn't mean I was going to lose the baby.  So anyway I went away feeling reassured because my cervix was looking great and the baby was looking good too.

So on my way home I started thinking about when I lost Ruby and after I delivered her (different hospital) the doctor said the reason I went into pre-term labour could have been 1 of 3 things - incompetent cervix, placental abruption from a blood clot or infection. They did take a swab from my placenta and my vagina and it came back positive for Strep B. Again though they played that down and said a lot of pregnant women have that infection and that didn't necessarily cause the premature labour.  So yeah that was never focused on.  Unfortunately the piece of blood clot they took for testing was lost.

So while I'm thinking about all this, it pops into my head that I had this recent hospital visit two weeks ago and nobody rang to tell me I had an infection.  I only found out because I told the doctor about my scare and she looked at my notes.  What if I hadn't mentioned it - would it have gone unnoticed??  I have been googling infection and pre-term labour and apparently it accounts for up to 40% of preterm births.  Why is no one taking this more seriously!  I had Strep B with Ruby and now I have it with this pregnancy and everyone just plays it down but 40% is really high.  I am starting the antibiotics today but I am quite scared it will come back and how will I know.  Do I ask them to test me every so often for it??

The more I think about it the more I'm wondering if I lost Ruby because of the Step B.  What do you guys think??

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by laureninlove, Apr 11, 2013
Oh god...seriously WHY did they not contact you about the results?? That's beyond incompetent, I'd be fuming too! It must leave you with so little faith in doctors, all you need is someone who at least pretends to be sympathetic and take your gut feelings seriously. I've come across so often doctors who treat us like we know so little and play everything down like we are being paranoid...only way I got through it while trying to be diagnosed with PCOS is to Not Let Up! I'd go back again to voice your concerns...maybe you are Rightfully paranoid, but nothing is going to settle your mind until you can feel comfortable that your doctor looks into your eyes and truthfully knows where you're coming from. I know the high risk clinic are looking after you well. Look after yourself, keep following your gut instincts, and don't let anyone make you feel like you're assuming the worst. I only say that cos I know if I were you, that's all that would comfort me x

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by melimeli, Apr 11, 2013
Sorry,  They should have told you.  I had a UTI while pg and also I passed a kidney stone.  I think Strep B is something you have for life so I think it makes since that you have it.  You must be tested again before labor and get an iv during labor with antibiotics so that your baby wont be affected.  Prayers!

Will group B strep go away with antibiotics?

Antibiotics that are given when labor starts help to greatly reduce the number of group B strep bacteria present during labor. This reduces the chances of the newborn becoming exposed and infected.
However, for women who are group B strep carriers, antibiotics before labor starts are not a good way to get rid of group B strep bacteria. Since they naturally live in the gastrointestinal tract (guts), the bacteria can come back after antibiotics. A woman may test positive at certain times and not at others. That’s why it’s important for all pregnant women to be tested for group B strep carriage between 35 to 37 weeks of every pregnancy. Talk to your doctor or nurse about the best way to prevent group B strep disease, or review the revised group B strep guidelines to learn more.

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by butterflybabies, Apr 11, 2013
How awful that they didn't tell you. I'd say you should ask to be tested every so often for it. I know they test you before labor to. Although I don't remember if I was ever tested. Heck I had to remind my ob that he never tested me for GD and I was 30wks when I mentioned it to him and he was like oh yea. Really? Don't you do this everyday? Now that you got the meds hopefully it goes away. You should ask to be tested again once you finish the meds. That way if you test neg you can relax a little. Even though I know you won't until this baby is full term and safe in your arms. Praying for you always!

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by Sherri90049, Apr 11, 2013
So typical of drs! Makes me so mad. Thank God you started the antibiotics today. (Side note: Ask your dr if you can take some probiotics after you finish the antibiotics, like acidophilus, because antibiotics kill so much of our healthy gut bacteria which is crucial for a healthy immune system.) You should def demand to be tested regularly to be safe. It would be a crime if they would cause you to lose a baby for a totally preventable reason.

You must always be in charge of your own healthcare. Drs see tons of patients each day, and while most usually do care alot, they can be overwhelmed and miss things. And when you don't agree with something they say, speak up. You're the patient. They work for YOU! Be ready to be a B i t c h when you feel like you are not being given adequate treatment. If you stand up to them, they will have to listen. But if you don't, they will whisk you out the door after your "15 minutes" they allot for each patient and move on to the next. We know you can do it, because you do it with the whole Heparin issue.

Hang in there! You are doing great! You are listening to your gut and getting what you need. It is NOT always easy. But we are always here for you! xx

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by retta483, Apr 11, 2013
i think maybe from infection I know if you go into labor without antibotics with strep b the baby can have complications but i have had it with every baby  all they do is give me three bags of antibotics before delivery and the baby is ok at birth . strep b is something that a woman always carries . praying your little one stays put until time .

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by Grace358, Apr 11, 2013
I would be really angry too that you had to ask about it and that they didn't follow up especially after losing Ruby. I've had so many experiences of doctors not caring or investigating properly and just getting me out of their room asap so they can see the next patient..its so frustrating and seems to be a very common theme these days..I have wondered if life is so busy now that they don't do the things they used to - 'care for their patients'.. I agree with Sherri, that you have to be in charge of your own health and really listen to your body as its talking to you.. If something doesn't feel right go with that as your body always knows more than what some doctor says. I hope you can get some probiotics to help your stomach lining as that will make it stronger after the antibiotics and your baby will feed on that too which is very important at this growing stage for future immune resistance. Hope things get easier for you x

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by Ecologic, Apr 11, 2013
I worked with labs that test pregnant women for GBS. It's no joke and could very well explain why you lost Ruby.

I had a friend who was misdiagnosed ( she was positive), she delivered on term... Of a stillborn baby because of GBS :-(

It is not acceptable that the hospital knew you were positive and did not tell you.

I hope you get good care now!

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by JennaRie, Apr 12, 2013
That is horrible for them not to tell you you had an infection!! Yes, a UTI left untreated can cause preterm labor so I am glad you are getting treated, but I would make it very clear to them how serious a mistake they have made by letting you go 2 weeks not knowing you had an infection! Thank goodness you brought it up during your appointment!

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by dscoqn, Apr 13, 2013
Thanks everyone!  I ended up calling the Women's assessment unit at the hopital which is the department I went to when I was having all the pains and got checked out.  I asked them who's responsibility was it to inform me of my test results after they came back because nobody rang me and I only found out because I told my doctor about my scare at my high risk clinic appointment and she checked my records.  The lady I spoke to looked into it for me and rang me back.  She told me that unfortunately it was a clinical error due to the fact that I was out of the catchment area (I am meant to be under North Shore hospital but chose to go out of area because of what happened when I lost Ruby).  She said there is no excuse    but that's why it happened.  So basically their procedures are messed up and I slipped through the cracks.  I am going to raise the issue with my doc at my next high risk appointment because it's not really good enough.  Luckily I didn't go into preterm labour after having this infection for 2 weeks without antibiotics and that's all it is really - luck.  If I had lost this baby because of their negligence I would have been beyond furious.  So yeah, I am going to make it very clear that they need to be more careful with my care because that's why I am there.   Thanks again for all your input and support xxx  

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by logigirl, Apr 13, 2013
From my knowledge they medicate you once it's detected. Then again when you go into labor/water breaks. Yes, once you test positive you have it however, doesn't mean you'll have it w/the next pregnancy. They don't test for it until 34+ weeks into pregnancy.

1219499 tn?1410749730
by dscoqn, Apr 13, 2013
Apparently it's not too serious if it's just in your vagina but if it reaches your bladder it does become serious which is why they have given me the antibiotics.  The fact that it reaches your bladder means it has heavily colonised and makes you more at risk for pre-term labour.  Also I think if at any stage you do have it in your bladder they give you the IV antibiotics during labour regardless of whether you test positive or not at that time.

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by nichumangel, Apr 19, 2013
I had strep b with my daughter.  Its not mandatory testing in canada (16 yrs ago) they found it by accident because I fell and went to the ER...I had IV antibiotics during labor. .and she was fine....and dont let them tell u it's not serious  

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