B Strep protocol 2.doc.htm
1. Vaginal Wash for Elimination of GBS Infection
"You use one part 3% hydrogen peroxide to four parts water. (Hydrogen Peroxide kills Step B on contact, however, NEVER treat with undiluted HP – too strong!) Douche or irrigate once a day, every day, for 3 days. Also clean labia w/ solution twice daily for all three days. Then make sure to do this again the morning of your test.** (**Alternate directions in last paragraph of this page.) This recipe is from Jenny West, a midwife in NM. Her email is infotubsntea.com if you have any questions."
[Many young women of today no longer are familiar with how to do a vaginal douche. Purchase a douching bag at Walgreens’s in the feminine supplies aisle. It will come with a detachable nozzle about the size of a Tampax for vaginal use and occasionally another nozzle for rectal use. The bag is to be filled with the solution described, the nozzle attached, shake the bag to mix, then get into the bathtub in a squat or recline with legs apart. Insert the nozzle into the vagina, gently, as far as it will go. (Remember that your vagina is Y-shaped with the cervix coming down between the arms of the Y.) Gently squeeze the bag as you move the nozzle GENTLY to each side of the Y and up and down the vagina – trying to reach each little crevice and fold. Remember to douche the labia outside as well. Be sure to rinse the bag well after use. Now take your shower. That’s all there is to it!]
Also, from notes from conversations on the email Nest, this comes from Jenny as well.
"Three parts water, one part hydrogen peroxide (if you do 3 cups water, and one cup hydrogen peroxide, you'll get one quart of solution) since this will be a low pressure vaginal wash, I'd recommend one quart. You will need an enema bag or douching bag-sold a drug stores or Wal-mart type places. You can mix the solution right in the bag--be sure to pinch off the tubing with the thingy provided for that. I usually suggest the woman lay in the bath tub--semi-reclining, insert the vaginal end (it has several holes in it, and is longer than the other end provided). Holding the bag only as high as your arm is long, release the pinchy thing and you should feel the fluid start coming out. If not slide the vaginal insert out a little bit (and you may not have to pull it all the way out, just until some air can enter one of those little holes to release the flow) until you do feel fluid flowing. Re-insert gently, "banging into things and probing" is unnecessary. Relax and 'visualize' anything your body does not need flowing out with the solution.
Some midwives add a little Echinacea, tincture or tea, (3-4 TBsp of tincture or one cup of tea--you would replace one cup of the three cups of water with the one cups of Echinacea tea). Some also add colloidal silver--also a liquid, 1-2 TBsp. Adding these two ingredients would make this a more 'overall' wash--more broad spectrum, as Echinacea is anti-viral and anti-bacterial. Colloidal silver tends to attack STD-type microbes. Remember, tho', hydrogen peroxide kills Strep B on contact--very specific.
**I'd suggest two washes, two nights apart. Say your Strep B test was Thursday, do the first wash on Sunday night before going to bed, the second on Wednesday night and swab on Thursday. (**Alternate directions in first paragraph of this page.) I've done this for my whole career--vaginal washes, so I feel like it's simple.... I realize not everyone may agree with that! from Jenny West, midwife, Albuquerque, NM
2. Garlic Insertion
Miidwifery Today just posted an article about garlic having a profound affect on GBS. The CNM that is running the study is Judy Slome Cohain. Her email is judyslomehotmail.com
Her suggested protocol is bruising or cutting the garlic clove prior to inserting into the vagina for five nights in a row. Day 6, run a GBS test and you will get negative results.
Now, sometimes the garlic juice can be a burn-y experience, so have day (or night) #1 be a mild bruising or just one slice in the clove. I have a client that is doing this right now and she reports that she just feels warm and can taste garlic in her mouth several minutes after insertion (good sign that the active ingredients in garlic are getting into the body). Judy would like anyone willing to do this protocol, to email her and 'sign up' for the test and collect the results (email her afterwards).
My client is a poster child for GBS-tons of it in her system, she still had a positive test at day 5, but by day 12, she has 'rare cells seen' as her test result. She is continuing to do the garlic every third night until she births. She also had her first baby at 34 weeks along while she was vacationing in Washington DC--so she is determined to keep this baby in to term-and she is doing just that. She knows that GBS can cause pre-term labor, so she is very willing to do this 'no-side effect' method to keep her baby in and to cut way back on the amount of antibiotics needed for her birthing.
3. Supplement protocol
Twice a day, with breakfast and dinner:
Acidophilus - 4 billion cells per dose (The first time I heard a naturopath speak about preventing this infection in babies, he stated that using high doses of probiotics- acidophilus, bifidus, etc.- in the last weeks of pregnancy would prevent the problem.)
Echinacea - 350 mg. capsules - two capsules (Note that some people are allergic to echinacea!- this is best used in the last couple of weeks of pregnancy only.)
Garlic - 580 mg. capsules - two capsules
Vitamin C - 500 mg. with 200 mg. bioflavonoids
Grapefruit Seed extract - 15 drops
A culture is done every week, to see if the bacteria are decreasing.
Whatever the reading is, closest to delivery, is supposedly the most reliable.
If this regimen is successful at eliminating GBS, I would suggest staying on it until birth, to give the mother the best possible likelihood that it will not be present in her vagina at the time of birth.
The CDC has the following statistics:. Approximately 40% of all women tested positive for group B strep disease during pregnancy. Although there are problems associated with GBS – by ratio, there is a very low incidence of problems for a very common condition. from Dr. Lorne Campbell (OB)
The cautions for IV antibiotics use at hospital Warning
My daughter-in-law just went through this. I can tell you our experience and maybe it will help. Her midwife is one we all trust and is very supportive of natural birth, non-interference, etc., but felt very strongly about receiving the antibiotic in labor. We explored and discussed the possible scenarios because of Strep B and came to a trusted decision, hoping we wouldn't have to deal with it after all. We (this was a FAMILY birth experience) all decided Jen would have the IV antibiotic IF HER WATER BROKE EARLY. The risk of infection for the baby is low (less that 10 percent?) but if the babe IS infected, the consequences can be critical. We decided the IV antibiotic was less risky than
the risk of a deadly infection. After all, mom did test positive to Strep B, so the risk was there. Way up RISKS/BENEFITS….
Sure enough, Murphy's Law happened and Jen's water broke at 5 p.m. and no surges/contractions were on the scene. The midwife asked her to go to the hospital and start the IV. We arrived at about 8, IV was started about 9. She had to have another one about four hours later. By then, she was in active labor and didn't receive another one. She was hooked to the IV only for about 20 minutes during the infusion. This wasn't too inconvenient and was handled very well. Jen said it was worth the inconvenience for increased safety and peace of mind that the risk to the baby was lessened.
I promote the philosophy of "Don't deny technology just for the sake of denying technology. Realize when it can be beneficial and work with it." One word of caution though.... the nurse (not the midwife) assumed since Jen was on the IV anyway, they would just leave it in "just in case...." We did have to fight that, but it was only a brief skirmish. Also, when my son received the hospital bill, there was a charge for pitocin, which was about a $1,000 extra. The billing office said it was assumed because she had an IV she also had pit. My son was angry at that assumption, as well as the extra charge, which was finally removed.
Another point of view on antibiotics Warning
IV antibiotics are the normal course of treatment for GBS. If a mother passes the GBS infection on to her baby, it can have serious consequences. Often, women who are GBS positive are told to come to the hospital earlier in labor, to receive the standard course of treatment which is 2 doses of IV antibiotics, administered 4 hours apart. The woman does NOT need to be hooked up continuously to an IV, just to receive the 2 doses of medication. Of course, there's also a lot of controversy over routine GBS testing, but it's one of those things where women typically just consent to the testing without understanding the potential consequences. A woman who tests positive at 37 weeks is not necessarily still harboring GBS when she goes into labor at 40 weeks, and the woman who tests negative at 37 weeks may very well be positive by the time 40 weeks rolls around and will receive no treatment. I believe that the CDC is working on a "quick strep GBS" type of test that can be administered during labor, which will certainly more accurately pinpoint which women are at risk and
need treatment. from Mindy, midwife
About using antibiotics in labor instead: Warning
The antibiotics need four hours to be at their peak effectiveness. As homebirth midwives, we try our best to start the first dose when active labor is happening (early enough to have four hours for the meds to do their protecting work, but late enough to NOT need a second dose).
Women who receive two or more doses of antibiotics may need some follow-up information about vaginal yeast and thrush. Myrrh Tincture kills yeast on contact. Can be used "straight" in it's alcohol base, or diluted for vaginal washes, dabbing on nipples and swabbing the baby's mouth – (put that dose of tincture in a 1/2 oz. of HOT water to dissipate out the alcohol. When cool, swab away).
from Jenny West