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How Group B Strep Seriously Affects Pregnancy and Newborns

As part of July Group B Strep Awareness Month, Women’s Telehealth encourages all pregnant women to make sure they complete their Group B Strep testing as part of routine prenatal care.

Group B Streptococcus (GBS) lives in the body naturally and it is a bacteria normally found in 25% of health adult women’s rectum or vagina. Women who test positive for GBS are considered “colonized” or a “carrier.”

GBS is not normally harmful to the mother, but can be harmful to the newborn. A pregnant woman can pass on this infection to the baby during delivery. Not every mom will have symptoms of a GBS infection and not every baby born to a mom with a GBS infection will become ill. While GBS disease can be deadly, there are steps pregnant women can take to help protect their babies.

GBS Testing

The CDC recommends all pregnant women get tested for GBS between 35-37 weeks gestation. The most accurate results are within a 5 week period prior to delivery. The rectum and vagina are swabbed during the antepartum OB appointment and the sample is sent to the lab for processing. The results are usually available with a few days.

Rapid screen GBS tests are also available if a woman presents at a facility to deliver and has not had a GBS test completed. If a pregnant woman tests positive, treatment is considered.

Treatment

Intravenous antibiotics (usually Penicillin for non-allergic patients) are given to women who are at increased risk of having a baby who will develop GBS disease. The antibiotics help protect babies from infection, but only if given during labor. Antibiotics are administered from the onset of labor and continue every 4 hours through to delivery.

The following symptoms may indicate a higher risk of delivering a baby with GBS:

  • Labor or membrane rupture before 37 weeks gestation
  • Membrane rupture more than 18 hours prior to delivery
  • Fever during labor
  • Previous baby born with GBS
  • UTI as a result of GBS in pregnancy

If the baby is delivered via C-section and there is no labor or rupture of membranes, antibiotic treatment is not given. About 1 out of 200 babies of moms with GBS will contract the infection without IV antibiotic treatment. With IV antibiotic treatment, the incidence of babies contracting the infection is lowered to 1 in 4,000.

How GPS Affects Newborns

Early-onset GBS occurs when a baby is infected with GBS within the 1st week of life. Roughly half of babies born with GBS infection have early- onset symptoms including: sepsis, pneumonia, meningitis, breathing problems, heart rate and blood pressure instability and GI and kidney problems. In severe cases, stillbirth may result. Approximately 5% of babies with GBS infections at birth will die.

Late-onset GBS may occur after one week to several months of age. Signs of late-onset GBS include changes in your baby’s eating habits, such as feeding poorly, refusing to eat or not waking for feeding. Changes in baby’s skin, including blue, gray or pale skin due to lack of oxygen, or blotchy or red skin may also be signs of GBS. In the U.S., late-onset GBS has been the leading cause of meningitis in newborns in the first three months of life.

Prevention

Although research is continuing, there is currently no vaccine for Group B Strep infection. The best two ways to prevent GBS during the first week of a newborn’s life are:

  • Testing pregnant women for GBS bacteria
  • Giving antibiotics, during labor, to women at increased risk

For additional information, please visit: 

https://www.cdc.gov/groupbstrep/index.html or https://www.marchofdimes.org/complications/group-b-strep-infection.aspx

Don’t put your un-born baby at risk! Learn the facts and get tested!

~Tanya Mack, President

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Advisory Board Publication, Telehealth Primer: Pregnancy Care, Features Women’s Telehealth

Virtual pregnancy care spans from prenatal to postpartum care.  It incorporates a variety of telehealth modalities including audiovisual visits, remote patient monitoring and “live” and asynchronous store and forward imaging.

The Advisory Board is the best practice firm helping healthcare organizations worldwide improve their performance using a combination of research, technology and consulting. They have 12 offices on 3 continents and publish to over 9,000 healthcare organization outlets.

Recently, the Advisory Board published the piece, “Telehealth Primer: Pregnancy Care.” The publication features four innovative healthcare organizations using telehealth tools to deliver different aspects of pregnancy care and their business cases and results.

Women’s Telehealth is pleased to be featured in the primer for our work in providing maternal-fetal medicine services, delivered 100% via telemedicine, to help decrease preterm labor and improve access to maternal-fetal medicine providers.  

The Mayo Clinic’s OB Nest program and the University of Utah were also featured in the Primer for their work in delivering antepartum visits virtually vs. in-person visits, to improve patient satisfaction with the same clinical outcomes.

The Primer also featured the University of Pennsylvania for delivering postpartum visits via remote patient monitoring to ease post-delivery care and outcomes for new moms.

For a copy of this informative primer, visit: https://www.advisory.com/research/service-line-strategy-advisor/resources/2018/telehealth-primer-pregnancy-care

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Eager to Share My Passions – Telehealth, Entrepreneurship, Leadership

Call me a healthcare adventurer! I’m always pursuing my vision to help others! Above all, my goal is to lead industry change with the tools available in modern healthcare.

I welcome your invitation to serve as a guest speaker or advisor! It would be an honor to share some of the varied expertise I’ve gained through seasoned experience. See bio for details.
~Tanya Mack, President

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Information Asymmetry vs. Parity

Renowned author Daniel Pink was a featured keynote speaker this week at the Women President’s Organization’s Annual Meeting in Charlotte, and Women’s Telehealth was there as he shook up the audience.

His main message was the far-reaching effects of information access available to almost anyone, anywhere, instantaneously. This playing field is leveled as we move through the world enrolling and influencing others around us. Information asymmetry is shifting to information parity.

To adjust to this shift, Dan suggested three strategies to consider- his version of the ABC’s:

Attunement: To get alignment, we must be more disciplined to understand another’s point of view.

Buoyancy: We must cultivate our ability to overcome “an ocean of rejection” and remain afloat in tough times.

Clarity: Expertise is now obsolete since we can choose to education ourselves for free online for almost anything. We have so much data at our fingertips, but now the need is the ability to sift through it and “problem find” and shift from accessing information to curating it.

As this shift rolls on, it will change our relationships, our work patterns, our productivity, our environments and our daily tools. Whether we like it or not, Dan tells us 41% of our day AT LEAST is spent influencing or persuading in some way.

Time to make some adjustments?

~Tanya Mack, President

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Top Docs Radio Show with CareSource

Beginning, July 1st, CareSource, an Ohio based Care Management Organization (CMO) will expand into the Georgia market and begin serving a portion of Georgia’s 1 million Medicaid consumers and become the state’s 4th CMO. They will share an over $4B agreement over the next 6 years with GA’s other CMO providers.

They are unique already as they are the only GA CMO that is non-profit, their top leader is a woman and they are poised to bring some innovative
programs to the Georgia market. Listen in as Women’s Telehealth speaks to top Caresource leaders and hears about their plans: http://topdocs.businessradiox.com/shows/caresource

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Women’s Telehealth Helping to Reduce Infant Mortality

Bradley George, NPR recently featured a story addressing the infant mortality health crises in the African-American south. Women’s Telehealth and their Centering Pregnancy partner, the Georgia Department of Community Health in Dougherty County. Dougherty County is a typical southern county in which about 40% of the residents are African American. Of Georgia’s 159 counties, it ranks 115th in health outcomes and has an infant mortality rate of 10.8/1000 live births- almost twice the national average. Centering Pregnancy is a way to deliver group prenatal care and adding high risk maternal fetal medicine services via telehealth, through Women’s Telehealth, has enabled this group of patients to greatly reduce their preterm birth outcomes.

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Women’s Telehealth Lends Expertise to Industry Panel on Radio Show

On March 18, 2015, Dr. Anne Patterson of Women’s Telehealth participated in a panel discussion in Atlanta at the BusinessRadioX studio to discuss the current state of telemedicine and future trends that are beginning to be relevant now. Women’s Telehealth is a high risk OB telemedicine service provider licensed in 7 southeast states. She was joined by Matt Jansen, currently with Ironbow, who handles the backend technology and connectivity for telemedicine. Dr. Tolliver Smith, of Telehealth Solutions also joined the conversation. Telehealth Solutions is working to extend telemedicine solutions directly into primary care provider offices. Hear what the panel had to say about telemedicine by clicking learn more.

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