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Birthing Instincts

#457: Asymptomatic Bacturia & UTIs in Pregnancy. Balancing Antimicrobial Stewardship

Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young

Alternative Health, Kids & Family, Health & Fitness, Parenting

4.8692 Ratings

🗓️ 18 March 2026

⏱️ 93 minutes

🧾️ Download transcript

Summary

Is every positive urine culture in pregnancy a problem that needs antibiotics? Dr. Stu and midwife Blyss explore ACOG’s UTI guidelines, the evidence behind screening, and the growing concern about microbiome disruption and antibiotic resistance.


References:

Motherhood Equipped Podcast: 62. Birth Freedom, Breech Truth, and Why Physiologic Birth Matters with Dr. Stuart Fischbein

Patreon.com/BirthingInstinctsPodcast 

Support the Podcast 

Velvet and Bone Somatic & Trauma-Informed Doula Training (velvet-and-bone.com)

ACOG Clinical: Urinary Tract Infections in Pregnant Individuals

PubMed: Asymptomatic GBS bacteriuria during antenatal visits

Birthing Instincts Podcast Episode #294 Group B Strep: Prioritizing Agenda Over Science


Discussed in This Episode

Bladder Infections 

Kidney Infections 

The Various Screening Recommendations and Treatments

What is Asymptomatic Bacturia 

Benefits of Asymptomatic Bacturia

Why Eradicate Asymptomatic Bacturia?

Alternatives to Antibiotics

When to Seek Medical Advice

Risks of Antibiotics in Pregnancy, Labor and to Newborn


 Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


This show is supported by


Connect with Dr. Stu and Blyss



Advertising Inquiries: https://redcircle.com/brands

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Burling Instincts Podcast.

0:05.0

I'm Dr. Stewart Fishbein, community-based practicing obstetrician and long-time advocate for birth choices.

0:10.0

And I'm Bliss Young, a licensed midwife.

0:13.0

Join us in our conversational style podcast where we talk about everything birth.

0:17.0

Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go.

0:25.6

Good morning, bliss. Good afternoon, good evening, and good middle of night, everybody else.

0:30.5

How are you? Well, we were just joking around that we're not having the best day. So all of my...

0:37.7

I love our chats before we get started.

0:39.7

What'd you say?

0:40.7

I said, I'm sorry, I stepped on you.

0:43.3

I love our chats before we get started because we start giggling right off the bat, which

0:48.3

is just great.

0:50.6

Good for the heart.

0:52.5

Good for the heart.

0:53.5

Although, you know, we did get one feedback on, like, I don't know, on Apple or Spotify or something.

1:01.7

And somebody who obviously wasn't super, like a super fan or super familiar with us.

1:06.9

And they were like, you guys just kept chatting and laughing.

1:09.6

I just wanted you to get to the point.

1:11.9

And I was like, sorry if you don't like our style, but I think there's plenty of you who do.

1:17.2

Yeah, but you know what? That's what the advanced 32nd button is for.

1:24.1

Just forward over. Yeah. Just push the little button if you don't like what we're talking about. Yeah. It's super rainy here today. And I'm still waiting on these twins. I keep reminding them that your average was like 39 weeks, right? That was the average, right? Range 35 to 42 weeks.

1:45.9

Yeah, and everybody kept telling them before they came into our care that, you know,

...

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