Barbara E. Herrera, LM, CPM has informed me of an herbal treatment that is done during pregnancy that has been shown to be effective in eliminating GBS. The protocol is a standard of care in the midwifery community, but I understand it is not in the medical community. After completing the herbal treatment, testing can confirm or deny if there is GBS in the vagina or rectum. If I am negative, I have the option of continuing the treatment through until birth or I can stop the herbal treatments, accepting that I am GBS Negative. I understand that the medical community considers me GBS Positive after a positive result whether or not I subsequently test negative.
Barbara E. Herrera, LM, CPM has informed me of the standard MEDICAL protocol for a GBS Positive woman. The CDC protocol requires a woman to receive IV antibiotics in labor, one dose every four hours after the initial loading dose. I understand that at least two doses must be given in order for it to be effective. I also understand that accepting the antibiotics does not guarantee my baby will not get GBS and that additional antibiotics would need to be given to the baby if s/he is GBS Positive.
Barbara E. Herrera, LM, CPM has also informed me of an alternative to the routine antibiotics in labor: a Hibiclens wash… 4% Hibiclens to 10% water, put in a PeriBottle to gently wash the lower vagina and vaginal area. She has sent me information showing the effectiveness of the wash and I have also researched the information myself. I understand this protocol is an (alternative) standard of care in the midwifery community.
In light of the information provided and after researching on my own, I choose:
_____ Antibiotics in labor
_____ Using the herbal treatments
_____ Doing the chlorhexidine wash in labor
_____ Do none of the above but will have Barb monitor me for infection during labor and will transfer to the hospital if necessary.
_____ Prefer to do nothing, but watch for GBS infection in the baby postpartum
Signed ____________________________________________ Date ____________
Midwife ___________________________________________ Date ____________