My first baby was stillborn at 41 weeks. The post mortem indicated that she died of an intra uterine bacterial infection, but tests were not carried out to confirm the actual cause. My Consultant suspects Group B Strep, and I have since had a private test that indicates that I am a carrier. My waters had not broken at the time that my baby died. However, I had over 10 vaginal examinations during a week long attempt to induce me using prostin gel. We are trying to conceive again, and are concerned about the risk of the same thing happening again. Do you think that the infection may be linked to the vaginal examinations? I am worried about being induced again in another pregnancy and am thinking about an elective C section, do you think this would be a good idea? What, if anything, can I do to minimise the risk of intra uterine infection?

We are very sorry to hear that your baby was stillborn. It is possible that this was linked to group B streptococcus, although it normally causes an infection to the baby after vaginal birth-which is how baby tends to become infected. To answer your questions, It is possible that multiple vaginal examinations could have been linked to an infection of the membranes, placenta and baby, but normally baby’s heart rate is monitored throughout induction so any concerns in baby’s condition are picked up. The issue about elective C-Section is a very personal one and is best discussed with your obstetrician. There is no reason however why, with good care and antibiotics in a future labour, you shouldn’t have a very high chance of having a vaginal birth of a healthy baby. A word of caution about group B strep testing: there is no evidence in the UK or Europe that knowing a GBS result and acting on it (ie giving antibiotics in labour) does more good than harm in women with no risk factors for the condition, which is why there is no universal screening programme in the UK. Knowing your are GBS positive would not lead to early induction of labour-but it would mean that you would be offered antibiotics in labour.
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