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“The best laid plans of mice and men often go astray.”

This quote is over-dramatizing my thoughts of today, as I don’t feel quite the heartache Robert Burns conveyed in To A Mouse, but it was the first thing I thought of upon receiving some test results today. The midwife says I’ve tested positive for Group B Strep – no big deal, really, but it does add a small wrinkle to my lovely birth plan.

I’ll step back a bit. What is Group B Strep? The midwife has brought it up a few times in our group appointments, but of course I scoffed at it completely because I’m always thinking that kind of stuff doesn’t apply to me. “No, no; my labor and delivery will be smooth and perfect with no complications whatsoever,” I say inside my head. Sigh. I am a naive one sometimes! Here’s what I remember, with a little help from the American Pregnancy Association:

  • Group B Strep is a bacterial infection found in the vagina or rectum (it was a fun test to find it, let me tell you). It affects about 25% of healthy adult women.
  • It isn’t an STD or a hygiene thing or anything; apparently the bacteria can come and go (it just happened to be present in me on the day of my test!). There are no symptoms – anyone can be a carrier.
  • As a precaution, to combat the chance that Baby2 could develop an infection as a result of being exposed to Group B Strep, antibiotics are delivered during labor every four hours.

So no big deal, really, as long as precautions are taken to prevent Baby2 from getting sick (those precautions are the antibiotics).

What does this mean for my lovely birth plan? Not much, thank goodness.

  • First, things first, I can still labor and deliver in the water, if I so choose.
  • Second, I have to come in to the hospital a little earlier than I may have wanted to (as soon as my water breaks, if that happens; otherwise, call the midwives when I think early labor has been established so they can direct me from there).
  • I’ll have to be hooked up to an IV every four hours for the duration of my labor. Luckily my hospital is cool and I can have a hep-lock device so the IV tube can be taken in and out without me 1) having a constant drip in my arm or 2) having to get stabbed and re-stabbed to establish the IV line.
  • Most likely I’ll be able to move about while the IV is in and it shouldn’t take too long to administer the antibiotics, so I can still have an active labor.
  • Baby2 should only need monitoring for 12-24 hours post-delivery (assuming no other risk factors, like fever, are present) so we shouldn’t have to be prisoners guests in the hospital for too long.

Again, not so bad. (Does it sound like I’m trying to convince myself that this is No Big Deal? Because I think I am.)

All in all, this small set-back is kind of nice, in a way. It’s good to find these things out now while I can get over them rather than during the throws of labor when my emotional state is… compromised. Also, this small setback is helping to prepare me mentally that things *might not* go completely my way. There could be other things that happen to derail my lovely birth plan. And guess what? I’m not going to know what the hell those things are until they happen!

This stanza will most likely not “leave us nothing but grief and pain for promised joy.” It is but a wrinkle in my “best laid plan,” and nothing more.

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