Follow up-UTI

[Ohbaby121]

So....I haven't slept in days! The nurses at the doctor office, haven't been helpful.

I posted a few days ago about a cervical exam because of cramping,

My initial test results came back negative, but when they sent them out it came back that I have Group B step UTI. Fantastic :/

Now I am really freaking out that when he did the cervical exam, it caused the bacteria to go up my birth canal and will cause an uterine infection which will have bad consequences for my love bug.

I'm not mad about the exam, I realize it needed to be done incase the infection was causing preterm labor.  My question is 2 fold.  
One if my cervix is closed, does that mean he couldn't get his finger up my cervical canal?  I've read so much on what dilation means and how to check and honestly it's all to complicated for me.

Two: what are the chances of an infection going through the amniotic sac if it does enter the uterus?  I know most cases occur in labor, but that it can actually cause preterm birth and rupture of membranes.

I appreciate all your help!!

[Elaine Brown, MD]

Hi!
If you were my patient, I would advise you that if your cervix is closed that means that his finger could not pass through the outer os and into the cervical canal.  In answer to the second question--Group B strep is a bacteria that colonizes the rectum/anus and vagina in MANY women.  It is usually asymptomatic and doesn't cause problems UNLESS you are actively colonized at the time you deliver a baby--eg. now. Because you have a Group B strep UTI you should automatically receive antibiotics when you are in labor.  Penicillin G is one option. Until your membranes rupture there is little chance that the bacteria will enter the uterus because the mucus plug and membranes are a natural barrier to infection.  You probably had the bacteria in the vagina and cervix before the exam--because if it is in the bladder that means it is very likely in the rectum/vagina too.
SO, while it is possible that you may go into labor early, it is not because he did the exam--the bacteria was there anyway.  
In one regard, it is helpful that you now know about the B strep so you can be treated, although I"m sure they would have discovered it anyway down the road.
Good luck!
Dr B

[AMDG]

Usually if the UTI is bad enough to affect your baby, they will put you on antibiotics. Regular UTI's are not always dangerous to the baby. Not sure how far along you are but you should research natural remedies to get rid of Group B Strep. My sis in law tested positive on her first pregnancy and in every pregnancy since has taken a probiotic and grapefruitseed extract every day and has never tested positive again. Some women have tested positive and managed to get rid of the bacteria in the same pregnancy by using probiotics, cutting sugar which will feed the infection, and by using garlic. Google it and read some different things. I truly believe it's possible for you to get rid of the group b!