I am expecting my 2nd baby sometime around 10/15 and we are planning a home birth. I did a GBS test this week and now I wish I hadn't as I tested positive. I tested negative with my first so I am ashamed to say this is not a topic I was well-studied on (I am a birth doula as well, shame on me). I treat predominantly with a home birth midwife but also occasionally see an OB (who home birthed with my midwife). I know neither of them think that GBS+ is a contraindication to home birth (and I have read a lot of studies that make me feel the risk is very low/there is no guarantee with or without antibiotics that might baby won't develop an infection), but I am just curious to hear others' thoughts/experiences with this. I'm looking for more reassurance, basically.
the midwife at my first delivery told me during pregnancy to refuse the gbs test bec 20% of women normally test positive, and the possibilities of complications during delivery are serious, but remote. so, i've never done the test...
and if you test positive, and they give you antibiotics, that could lower your immunity, and can cause yeast/thrush infections, which is not what you want to deal with as soon as you've given birth to a healthy baby with a healthy mother.
Congratulations, Katie! I'm glad you didn't have any issues, and I'm glad your baby is fine. As I said, after seeing the catastrophic (if admittedly rare) problems with a number of GBS-compromised babies, it isn't something I would be comfortable risking, and I'll be getting the test at my next appointment.
For people who are concerned about thrush after having ABX during labor, using probiotics makes a huge difference. In 12+ years of breastfeeding, sometimes while on antibiotics, I've never gotten thrush.