Evaluation of group B Streptococci colonization rate in pregnant women and their newborn
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Updated: May 13, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Abdolkarim Hamedi1, Farideh Akhlaghi, Seyed Javad Seyedi
1Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran.
Insights
Group B Streptococcus (GBS) rectovaginal colonization affects 6% of pregnant women. GBS transmission to newborns is significant, with over 80% of infants born to carrier mothers becoming colonized.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Infectious Diseases
Background:
- Group B Streptococcus (GBS) is a primary cause of maternal and neonatal infections.
- GBS screening during pregnancy is recommended by the CDC.
- Understanding GBS colonization and transmission is crucial for preventing adverse outcomes.
Purpose of the Study:
- To determine the prevalence of GBS rectovaginal colonization in pregnant women.
- To assess the rate of GBS transmission from mothers to their neonates.
- To identify factors associated with GBS colonization in this population.
Main Methods:
- A prospective study involving 200 pregnant women and their neonates.
- Collection of rectovaginal samples from mothers and ear/umbilical cord samples from neonates.
- Microbiological culture techniques were used for GBS detection.
Main Results:
- The GBS colonization rate was approximately 6% in pregnant women and 5% in neonates.
- All GBS-positive mothers had premature rupture of membranes (>18 hours).
- A significant correlation in GBS colonization was observed between mothers and newborns, with >80% of neonates from carrier mothers being colonized.
Conclusions:
- GBS rectovaginal colonization is prevalent in pregnant women.
- Premature rupture of membranes is a key factor in GBS-positive pregnancies.
- High mother-to-neonate transmission rates highlight the importance of screening and potential interventions.
Abstract:
Group B Streptococcus (GBS) is one of the most important bacteria in the majority of maternal and neonatal infections, such as chorioamnionitis, endometritis, bacteremia, sepsis and meningitis. During pregnancy, GBS screening is one of the recommended strategies that are recommended by center of disease control (CDC). This study was aimed to determine the rectovaginal colonization prevalence among pregnant women, and also the rate of transmission to their offspring. Between June 2008 and April 2009, two hundred pregnant women admitted in department of Obstetrics and Gynecology (Ghaem Hospital, Mashhad, Iran) were enrolled in present study. Samples from maternal rectum and vagina as well as neonate ear and umbilical cord were taken for culture. The colonization rate for GBS in pregnant women and their neonates was around 6% and 5% respectively. All the carrier mothers were cases with premature rupture of membranes (at least 18 hours before delivery). In terms of colonization, there was a significant correlation between mothers and newborns, and more than 80% of neonates from GBS carrier mothers were colonized by GBS.
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