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Childhood Illnesses Affecting Pregnancy

One vital concern for pregnant females is whether or not they had acquired some of the childhood illnesses before getting pregnant. diseases like Measles, Mumps, Rubella or German Measles, Chickenpox, and Fifth Disease or Roseola Infantum are of specific interest because these seemingly mild illnesses during child years may have serious effects on the pregnant women or their babies.

MEASLES

This is an incredibly contagious viral infection that presents 7 to 11 days after exposure. Patients usually first manifest the “3 Cs” namely conjunctivitis (reddening of the eyes), coryza (watery nasal discharge), and cough, associated with the presence of grayish whitish dots on the lining of the mouth. These indications are afterward followed by high fever and appearance of a rash that begins at the head, distributes downward, and fades in a similar manner.
If the woman contracts measles shortly before delivery, there is a considerable risk of serious infection in the newborn. The virus does not appear to cause teratogenic effects, but a number of studies confirmed that there is an elevated frequency of abortion, low birth weight infants, and preterm delivery. The pregnant woman can also develop measles pneumonia.
What you can do? Within 3 days of exposure, the pregnant woman can be given passive immunization with immune serum globulin 5 ml intramuscularly. Active immunization is not performed during pregnancy. However, prone females are vaccinated routinely postpartum.

MUMPS

Mumps is an uncommon grownup infection brought about by a virus which primarily infects the salivary glands. Symptoms of fever, headache, malaise and painful enlargement of the salivary gland manifest 12 to 24 days after exposure.
Luckily, mumps during pregnancy is no more serious compared to non-pregnant adults. There is no evidence that it can increase fetal wastage and fetal anomalies.

RUBELLA OR GERMAN MEASLES

This infection by a Rubella virus presents with fever, non-itchy rash, swollen lymph nodes and joint pains, 2 to3 weeks after exposure. Rubella has been directly responsible for incalculable fetal wastage and fetal malformation known as the Congenital Rubella Syndrome. It is one of the most teratogenic viral infections known.
A number of studies have shown 80% of women with rubella during the first 12 weeks of pregnancy have a fetus with congenital malformation. This incidence is reduced to 54% at 13 to 14 weeks, and by the end of the 2nd trimester, went down to 25%. Thus, the timing of maternal infection and fetal organ development determine the likelihood and seriousness of congenital malformations. Clinical manifestations of Congenital Rubella Syndrome involve one or more of the following:
– Eye lesions including cataract, glaucoma, and other abnormalities
– Heart diseases like patent ductus arteriosus, septal defects, and pulmonary artery stenosis
– Deafness- Meningoencephalitis
– Fetal growth restriction
– Blood disorders like anemia and thrombocytopenia
– Hepatitis, liver enlargement, or yellowish discoloration of the skin
– Pneumonitis
– Bone changes
What one can do? Keep in mind, measles, mumps and rubella vaccine can not be given while you’re pregnant. So, if you haven’t had rubella before nor had immunization when you were even now young, you should get yourself vaccinated and hold off for one month before attempting to become pregnant. Getting vaccinated soon after giving birth is another viable option.