Staff Obstetrician and Gynaecologist.
Group B Streptococcus Infection, not Birth Asphyxia
Article first published online: 28 JUL 2009
© 1999 Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 39, Issue 1, pages 108–110, February 1999
How to Cite
Keogh, J. M., Badawi, N., Kurinczuk, J. J., Pemberton, P.J. and Stanley, F.J. (1999), Group B Streptococcus Infection, not Birth Asphyxia. Australian and New Zealand Journal of Obstetrics and Gynaecology, 39: 108–110. doi: 10.1111/j.1479-828X.1999.tb03457.x
- Issue published online: 28 JUL 2009
- Article first published online: 28 JUL 2009
Summary: This case illustrates 2 main points. Firstly, fetal infection can mimic exactly both the immediate and delayed signs of perinatal asphyxia. Secondly, the placenta may hold the key to the diagnosis of sepsis which may be made difficult in the neonate by labour ward practices such as the use of intrapartum and immediate newborn antibiotics. We strongly support the recommendation that newborn blood and fetal membrane cultures should always be obtained in babies with a diagnosis of ‘intrapartum asphyxia and fetal distress’ (1). To this we would add the recommendation that placental histology be performed in these circumstances.