Infections of Pregnancy
This RNA virus is often (50%) asymptomatic, but may present with:
- Macular rash
The vaccine is live and potentially teratogenic and should not be given during pregnancy.
- Cardiac lesions
This virus often causes congenital malformation.
- Raised temperature
- Sore throat, rashes
Infection often comes from toddlers urine- avoid contact during pregnancy
Similar to glandular fever
Investigate- lab antibodies for IgG, IgM. Manage with Spiramycin
- Fever/ Shivering
- Sore throat
Can lead to miscarriage/ stillbirth (20%)
- Culture blood, CSF, meconium, placenta
- Treat with ampicillin, gentamycin
If mother develops VZ late
- Delivery after 7 days
- Give VZIG to neonate
- If neonate develops chicken pox, treat with aciclovir
If earlier contact, give VZIG and monitor
- If chickenpox develops, give aciclovir and monitor closely
Infection in first trimester can lead to fetal varicella syndrome
- Various congenital deformities
High risk of ectopic pregnancy. 30% of infected mothers have affected babies
- Low birthweight
Cleanse eye and give erythromycin
- Purulent discharge
- Lid swelling
- Corneal hazing/ rupture
50% have concurrent chlamydia.
Treat with cefotaxime and chloramphenicol eye drops.