#457: Asymptomatic Bacturia & UTIs in Pregnancy. Balancing Antimicrobial Stewardship
Birthing Instincts
Dr. Stuart Fischbein + Midwife Blyss Young
4.8 • 692 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
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
- WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.
- Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
- Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
- Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off
Connect with Dr. Stu and Blyss
- Join our Patreon! patreon.com/birthinginstinctspodcast
- Instagram: @birthinginstincts/@birthingblyss
- Website: birthinginstincts.com/birthingblyss.com
- Email: birthinginstinctspodcast@gmail.com
- Podcast webpage: birthinginstinctspodcast.com
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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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