Understanding Strep B: Symptoms and Causes

By Kathy V. Verdes, APRN, A-GNP-C

Step BCroup B Streptococcus, commonly known as Strep B, is a type of bacterial infection that can be particularly concerning for pregnant women and newborns. While it is often harmless in healthy adults, Strep B can pose serious risks to infants during childbirth and in the early weeks of life. Understanding the symptoms and causes of this infection is crucial for expectant mothers and their healthcare providers.

Symptoms of Strep B in Pregnant Women
In most cases, Strep B does not cause any noticeable symptoms in pregnant women. However, some women may experience the following signs:

1. Fever
2. Chills
3. Nausea and vomiting
4. Lower abdominal or pelvic pain
5. Frequent or painful urination
(signs of a urinary tract infection)

It’s important to note that these symptoms can also be indicative of other conditions, so it’s essential to consult with a healthcare provider for proper diagnosis and treatment.

Symptoms of Strep B in Newborns
While many babies born to mothers with Strep B remain healthy, some may develop serious infections shortly after birth. The symptoms of Strep B in newborns can vary depending on the type of infection, but may include:

1. Fever
2. Lethargy or poor feeding
3. Respiratory distress
(rapid or labored breathing)
4. Irritability or excessive crying
5. Seizures
6. Bluish tint to the skin (cyanosis)

If a newborn exhibits any of these symptoms, it is crucial to seek immediate medical attention, as Strep B infections can quickly become life-threatening if left untreated.

Causes of Strep B
Strep B is a type of bacteria that can be found in the digestive tract, urinary tract, and genital area of both men and women. It is estimated that approximately 25% of pregnant women carry Strep B bacteria in their bodies without experiencing any symptoms.

During pregnancy, the bacteria can be passed from the mother to the baby during childbirth. This can happen in several ways:

1. Transmission through ruptured membranes: If the amniotic sac ruptures before or during labor, the baby can be exposed to Strep B bacteria as it passes through the birth canal.

2. Prolonged labor: The longer the labor process, the higher the risk of Strep B transmission to the baby.

3. Premature rupture of membranes: If the amniotic sac ruptures more than 18 hours before labor begins, the risk of Strep B transmission increases significantly.

It’s important to note that having Strep B does not necessarily mean that the baby will become infected. However, it does increase the risk, particularly if preventive measures are not taken.

Prevention and Treatment
To reduce the risk of Strep B transmission, healthcare providers typically screen pregnant women for the bacteria between 35 and 37 weeks of pregnancy. If a woman tests positive for Strep B, she will typically be given intravenous antibiotics during labor to help protect the baby from infection.

If a newborn develops a Strep B infection, prompt antibiotic treatment is crucial. The specific treatment plan will depend on the severity of the infection and may involve intravenous antibiotics or other supportive care measures.

In conclusion, understanding the symptoms and causes of Strep B is essential for expectant mothers and their healthcare providers. Early detection and appropriate treatment can help prevent serious complications and ensure the health and well-being of both the mother and the newborn.​​​​​​​​​​​​​​​​

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KATHY VERDES APRN, A-GNP- C
Kathy earned her Master’s in Nursing Degree from Kaplan University in 2017. Kathy is certified by the American Academy of Nurse Practitioners (AANP) as an Adult- Gerontology Primary Care Nurse Practitioner (A-GNP-C). Prior to her Advanced Practice Registered Nurse Degree (APRN), Kathy managed a weight loss clinic for over 6 years right here in Naples. Kathy has since then managed acute and chronic care illnesses in different settings, and she genuinely enjoys spending time with her patients.

Naples Clinic

7385 Radio Road; Ste., 104, Naples FL 34104
(239) 384-9392
www.Naples-Clinic.com

 

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