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Prenatal-onset GBS Disease
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GBS Story Video Application Form
*
Indicates required field
Your Name
*
First
Last
Country
*
Type of Story:
*
Prenatal-onset GBS disease (includes miscarriages and stillbirths)
Preterm birth caused by GBS
Early-onset GBS disease (birth through 6 days of age)
Late-onset GBS disease (7 days of age through 90 days of age)
Recurrent GBS disease
Adult survivor of GBS disease as a baby
Maternal infection due to GBS
Other
How did GBS harm your baby or yourself
*
At what age and/or period of time did GBS cause this harm (example: fullterm during delivery)?
*
Please describe the highlights of your experience:
*
Please tell us what our community might do differently to prevent your experience from happening to someone else:
*
Website and/or social media (optional):
*
If approved, which filming option would you prefer? (choose one):
*
Film my own video within the guidelines
Be filmed via a Zoom call with GBSI
The following will not be posted, but will enable us to contact you. All applications are subject to approval. We thank you for your willingness to participate!
Email
*
Submit
Home
About GBS
What Is Group B Strep?
>
Prenatal-onset GBS Disease
Early-onset GBS Disease
Late-onset GBS Disease
GBS in Nonpregnant Adults
Maternal GBS Infections
How to Help Protect Your Baby
>
How Do You Get GBS?
GBS Testing
Testing Negative
Subsequent Pregnancy
Risk Factors
Signs of GBS Infection
GBS Vaccine Efforts
Resources
GBS Awareness Materials
Online Learning Events
>
GBS Community Days 2023
ICGBS 2022
ICGBS 2021
ICGBS 2020
ICGBS 2019
Prenatal Infection Prevention Symposium
POGBSD Symposium
Prenatal Infection Prevention Resources
GBS Medical Articles and Abstracts
GBS Parent Connection & Grief Support
Parent Stories
GBS Babies
Story Submission
Subsequent Pregnancies
Possible GBS Infections
Perinatal Infection Stories
WAYS TO HELP
Make a Donation
Fundraising
The WAVES Study
Campaigns & Projects
Awareness Calendar
>
Group B Strep Awareness
Prenatal-onset GBS Disease Recognition Month
Prenatal Infection Prevention Month
Suggested Topics for Researchers
About Us
Our Mission
Our Board of Directors
Our Partners & Perinatal Health Affiliates
Fast Facts
Contact Us
