Leilani Rogers—photosbylei.com
The Beta Strep Dilemma
Group B streptococci colonize the vaginal and gastrointestinal tracts of healthy women, being present 15–45% of the time when recto-vaginal swabs are collected and cultured (Woods 2014). Women screened around the 37th week of pregnancy test positive 10–33% of the time (CDC 2010). These women should, according to the CDC Guidelines, re-ceive IV penicillin, ampicillin or an alternative antibiotic, when in active labor.
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About Author: Marion Toepke McLean
Marion Toepke McLean, CNM, attended her first birth as primary midwife in August 1971. She received her nursing degree from Pacific Lutheran University in 1966 and her midwifery and family nurse practitioner degree from Frontier Nursing Service in 1974. From 1976 through 2001 she did home, clinic and hospital births, while also working as a family nurse practitioner. In 1980 she taught a year-long program for local midwives, returning to Frontier Nursing Service to teach during the summer. She had a homebirth practice until 1985, when she went to work at the Nurse-Midwifery Birthing Service, a freestanding birth center. In June 2000 she completed a BA in International Studies at the University of Oregon, with concentrated studies on Mexico. Since 2002 she has worked in a reproductive health clinic and attended an occasional homebirth. She lives in Eugene, Oregon, and is a contributing editor to Midwifery Today.
