Group B Strep (GBS) has been around for a very long time. But like so much in the area of obstetric care, we continue to understand more about it. Most of us carry this bacterium in our gut but in around 15-30% of women, GBS also colonises their vagina. This can create problems during pregnancy because GBS can make microscopic (very small) holes in the amniotic sac and infect the baby through the amniotic fluid. Around 7% of women with GBS develop an infection of the amniotic sac, otherwise known as chorionamnionitis.
We used to believe that once a woman had one baby by caesarean section birth, she would automatically need to have caesareans for all future babies. But for the last few years this theory has been turned on its head. The general advice is for women who are planning to have more than two children to consider a VBAC. This is because of the associated risks with repeated caesarean sections.
Delayed cord clamping, or perhaps more appropriately termed ‘’optimal’’ cord clamping, (as the definition of delay is subjective) is the practice of waiting to clamp the umbilical cord until after the cord has stopped pulsating or after the placenta has been delivered. This is to allow for maximum transfer of blood, containing oxygen and vital nutrients, from the placenta to the baby. This can take from a few minutes to as long as 15 minutes.
A Transcutaneous Electrical Nerve Stimulation (TENS) machine is a physiotherapy device that transmits electrical impulses through electrodes that are applied to the skin. The sensation experienced is like a tingling feeling which may feel strange for about 10 seconds, but then you’ll fall in love with it, as it’s just like getting a massage, and who doesn’t love getting a massage?!