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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Ascertain That My Child In The Womb Is Free From Risk Of Mental Retardation?

This is my 2nd time pregnancy. I have a 3 yrs CP child. Now i am 2 months pregnant. A TORCH test has been made and found that Rubella IgG is positive and value observed 60.68 IU/ml , cytomegalovirus IgG is positive and observed to 8070 IU/ml, HSV1 IgG is observed to 4.01Index Value. so, am i safe ? as i have a CP child previously, so can i be sure that the 2nd child (going to deliver) is free from risk of mental retard? or what i should do. i am in dilemma.
Mon, 25 Apr 2016
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OBGYN,  's  Response
Hello,
I have gone through your query and understood the concern. There are several causes for development of cerebral palsy in a baby. They can be antenatal, intranatal and postnatal. Infection with rubella and toxoplasma is one of the causes. In the current scenario, you have IgG positive result. This means the infection happened in the past. The test should be repeated again in 2-3 weeks and if the titres show a rise, the infection is considered to be recent and further management planned actively. If the infection is in the past, nothing needs to be done now except regular monitoring. The cerebral palsy, which probably occurred due to TORCH infection in the previous pregnancy need not repeat this time. Hope you find this information useful. Take care.
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How To Ascertain That My Child In The Womb Is Free From Risk Of Mental Retardation?

Hello, I have gone through your query and understood the concern. There are several causes for development of cerebral palsy in a baby. They can be antenatal, intranatal and postnatal. Infection with rubella and toxoplasma is one of the causes. In the current scenario, you have IgG positive result. This means the infection happened in the past. The test should be repeated again in 2-3 weeks and if the titres show a rise, the infection is considered to be recent and further management planned actively. If the infection is in the past, nothing needs to be done now except regular monitoring. The cerebral palsy, which probably occurred due to TORCH infection in the previous pregnancy need not repeat this time. Hope you find this information useful. Take care.