Infections in pregnancy

Caitlin L. Keighley, Hannah J. M. Skrzypek, Angela Wilson, Michael A. Bonning, Gwendolyn L. Gilbert

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Infections in pregnancy represent a challenging and often underappreciated area of concern for many specialists and general practitioners and can cause serious sequelae. Antenatal status should be highlighted on pathology request forms, as this serves to alert the laboratory of the need to store serum for an extended period. Prior antenatal specimens can be forwarded to other laboratories to enable testing in parallel with the more recent sample. Women with a confirmed, potentially vertically transmissible infection should be referred to a specialist with expertise in the management of perinatal infections. Cytomegalovirus infection is the most common congenital infection. Women who care for young children are at greater risk of exposure to the virus. Preventive steps including hand hygiene and avoiding contact with children's urine, mucous and saliva are recommended for all pregnant women. The incidence of parvovirus B19 infection in pregnancy is unknown. This infection is highly contagious and may result in fetal loss; particularly in the first half of pregnancy, pregnant women should avoid contact with adults or children who may have an infection.

Original languageEnglish
Pages (from-to)134-141
Number of pages8
JournalMedical Journal of Australia
Volume211
Issue number3
DOIs
Publication statusPublished - Aug 2019

Keywords

  • Antiviral Agents/therapeutic use
  • Cytomegalovirus Infections/complications
  • Female
  • Fetal Death/etiology
  • Humans
  • Incidence
  • Infectious Disease Transmission, Vertical/prevention & control
  • Parvoviridae Infections/epidemiology
  • Parvovirus B19, Human/isolation & purification
  • Pregnancy
  • Pregnancy Complications, Infectious/diagnosis
  • Prenatal Care/methods
  • Risk Factors

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