Author/Editor     Rakar, Rasta
Title     Okužba z varicella-zoster virusom v nosečnosti: nevarnost in ukrepanje
Type     članek
Source     In: Bregant L, editor. Zbornik referatov Nebakterijske okužbe v perinatologiji; 1998 maj 8-9; Ljubljana. Ljubljana: Društvo za pomoč prezgodaj rojenim otrokom,
Publication year     1998
Volume     str. 33-7
Language     slo
Abstract     Chickenpox rarely occurs during pregnancy but affected patients risk not only varicella pneumonia but also fetal contamination with potentially malformative effects or severe neonatal infection depending on whether the infection occurs early or late during pregnancy. 10-30% of the affectad women have varicella pneumonia. Respiratory distress is the main risk with mortality reaching nearly 20%. Fetal contamination occurs via transplacental transmission. Fetal malformation are observed in less than 3% of cases when fetal infection occurs early (before the end of the fifth month) but are generally quite severe. After the fifth month, the risk of malformation appears to be much lower. It is known however that fetal varicella can be observed if the maternal infection occurs just before delivery. The most severe forms are seen when the matemal eruption occurs during four days prior to delivery or two days thereafter. Neonatal mortality in these cases reaches 20%. Unlike varicella, there is apparently little or no risk either for the mother or the child in case of herpes zoster during pregnancy.
Descriptors     PREGNANCY COMPLICATIONS, INFECTIOUS
HERPESVIRUS 3, HUMAN
CHICKENPOX
FETAL DISEASES
CHICKENPOX VACCINE
PREGNANCY