Pregnant. Having rubella infection. What can be done? - Online Doctor Chats
i am pregnant my last month period date is 18 april 2013
Proceed with your query.
ultrasound report shows heartbeat 118bpm and there is subchorionic volume 0.1cc.
Are you there?
Do you have any symptoms now?
Have you seen your gynecologist?
but i m still confuse
Active rubella infection is slightly concerning during pregnancy. Since you are under 12 weeks of pregnancy, there is always a risk of fetal developmental defect. To help you understand better, I would like to know what your gynecologist's suggestions were?
as ultrasound shows on 11 XXXXXXX i was 6.3 week pregnant
According to report rubella IgG avidity 77%
so dr. says it shows infection is old
and also saying consult with foetal medicine specialist
Yes, IgG positivity indicates old infection and IgM indicates new infection
Recent active infection causes health risk to the fetus and therefore to assess the fetal risks, your doctor suggested to see a fetal medicine specialist.
on 26 XXXXXXX IgG 500 and IgM 1.03 IU/mL
and on another report 11 XXXXXXX it was 127 and 1.02 respesctively
The standard reference ranges varies according to laboratory centres, so may I know the reference values of both IgG and IgM?
for IgG >= 10IU/mL reactive,and IgM>=1.0COI reactive
Thanks for providing the details. Since two reports revealed positive IgM, it indicates a recent infection either before pregnancy or early pregnancy.
Since the levels of IgM is rising, the good news is that your body is fighting the infection and you will be fine.
However like your doctor said, it would be better to assess fetal growth and act accordingly.
sorry, no there is mistake on 26 may igm was 1.37 and on 11 XXXXXXX it was 1.02
I understand. As the levels of IgG is on the rise, this is an indicator that your body resistance is actively fighting the infection.
on 26 may igg 500 and 11 XXXXXXX 127. is it increasing or decreasing?
Rising IgG is a good indicator that your body resistance is good enough to fight the infection since we do not have specific medication to treat rubella.
how do i now whether baby will be harmed or not ?
That being said, since the infection is detected during the time of pregnancy, it is essential that we check the status of fetus and take a decision whether or not continue the pregnancy.
there is one more issue as i have asked before regarding ultrasound
Anomaly scan or fetal doppler may be suggested to you to check for fetal abnormalities.
at 6.3 weeks heart beat 118 bpm and there is subchorionic collection 0.1cc
whether medication for this is essential or not
The scan here doesn't reveal organ pathology.
As I said, we do not have specific medication to treat rubella infection.
We rely on body resistance, which seem to be good in your case.
The priority now would be to know the fetal risks and well being.
If fetus is not affected, you can continue pregnancy.
This can be best judged by fetal medicine specialist.
So I agree with your doctor.
dr has written one medicine sustan 200mg.is it safe to take this
Since rubella infection can increase risk of miscarriage, your doctor's suggested it.
Please continue the tablet. However it doesn't treat the infection per se.
Have you followed?
Do you have any other query?
no thanks a lot
Thanks for consulting me.
Bye for now.
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