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Infection of chicken pox during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
Doctor :   Hi
User :   Hi Doctor,
User :   I need clarification regarding chicken pox during pregnancy..
User :   My wife is currently pregnant with 11 weeks.. she was suffered from chicken pox during 9th week..
Doctor :   ok
User :   Please advice whether it will cause anything to my baby..
Doctor :   sure
Doctor :   Maternal varicella with viremia can transplacentally spread to the fetus. This leads to neonatal varicella.
Doctor :   A neonate's first month of life is a susceptible period for severe varicella, especially if the mother is seronegative.
Doctor :   In utero infection: Doctor :   Outcomes of in utero varicella infections vary based on the timing of the infection.
Doctor :   it can cause congenital varicella syndrome
Doctor :   Congenital varicella syndrome occurs in 2% of children born to women who develop varicella during the first or second trimester of pregnancy.
Doctor :   This syndrome manifests as intrauterine growth retardation, small brain, cortical atrophy, limb hypoplasia, microphthalmia, cataracts, chorioretinitis, and cutaneous scarring.
Doctor :   Fetal injury risk is unrelated to the severity of disease in the mother.
Doctor :   Do you follow me?
User :   yes
Doctor :   So there are possible infections at three time zones
Doctor :   1. now
Doctor :   2. during deleivery
Doctor :   3. after deleivery
Doctor :   It depends on when mother had rash
Doctor :   in your case , there is possibility that baby could be infected
Doctor :   You Gynecologist will follow with Ultrasound
Doctor :   Look at any signs of Congenital varicella syndrome
User :   Is that possible to identify the infection during the 5th month scan ?
Doctor :   Yes
Doctor :   Do you have any other Questions?
User :   No. Thanks !!
Doctor :   Thank you for consulting me
Doctor :   bye
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