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When pregnant does chickenpox trigger a disturbance in the uterus?

Pregnant women are particularly susceptible to bacterial, viral, or parasitic infections. This is because physiologically, the pregnant woman's immune system decreases. Infection can be bad for the mother and the fetus. One of the most commonly known infections is smallpox.

A new fetal immune system is formed at 12 weeks' gestation. At 26 weeks of gestation, the fetal immune system is almost the same as her mother. At birth, the baby still gets the antibodies from the mother. Slowly, two months later the antibodies in the baby decreased. Conditions vulnerable to make pregnant women should be extra attention to his health to avoid infection, one of them smallpox.

Chickenpox caused by the virus Varicella zoster commonly attacks the child and causes mild infection. However, chicken pox can cause serious problems when attacking adults, especially pregnant women. One of the concerns is the disturbance of the uterus.

The risk of chicken pox in pregnant women

When pregnant women have been exposed to chickenpox and have done chickenpox vaccine, it means the condition of pregnant women safe. Because according to Baby Center UK, one dose of chicken pox vaccine effectively prevents 80-85 percent of people exposed to the varicella zoster virus. But if not, pregnant women could have been infected.

Research from the Centers for Disease Control and Prevention (CDC) even advises you to do the vaccine even though it has grown to provide protection, especially for those who want to marry and get offspring.

Based on information obtained from WebMD, it is estimated that chickenpox infections occur in 3 of every 1,000 pregnancies. Chickenpox infections that occur during the first 28 weeks of pregnancy can increase 1-2 percent of the risk of infant damage, ie the eyes, legs, arms, brain, bladder, or intestine.

Therefore, women who are pregnant are strongly advised to avoid contact with people with chickenpox. Although the impact can affect the fetus, chickenpox in pregnant women in fact has no effect on the health of the uterus.


The risk is small

There was once a colleague of pregnant women who are very worried about smallpox. "I'm afraid there's nothing with my fetus," he said. The smallpox disease in question is chickenpox or varicella. Smallpox is caused by varicella zoster virus (VZV) or also called human herpes virus-3 (HHV-3). This virus belongs to a group of viral DNA that lives latently on the back of the ganglion (nerve) after a primary infection.

Approximately 80-90 percent of adults have been infected with smallpox, so they have immunity. In those who have been exposed, the virus is not completely lost from the body. Viruses hide in certain nerves, and one day can reactivate in the form of herpes zoster infection When primary infection occurs only in adulthood, clinically the disease will be more severe. This includes when it occurs in pregnant women and those with complications of the disease.

Chickenpox infection in the first trimester of pregnancy can cause congenital defects such as inflammation in the retina of the eye (chorioretinitis), lack of development of the cerebellum (cerebral cortical atrophy), renal enlargement (hydronephrosis), and bone and skin disorders.

If the infection attacks the pregnancy at the age of less than 13 weeks, the possibility of congenital defects that occur about 0.2 percent. While the infection occurred at 13-20 weeks gestation, the infection increased to 0.4-2 percent. However, if infection occurs after 20 weeks gestation, there is generally no abnormality. Keep in mind that the incubation period of this varicella virus is less than two weeks.


Handling chickenpox in pregnant women

Reporting from the NHS UK, the treatment of pregnant women when exposed to chickenpox depends on the stage of pregnancy and symptoms are felt. If you are pregnant and exposed to chickenpox, you are advised to see a doctor to get the appropriate treatment.

The usual thing to do to handle chickenpox in pregnant women is to provide fluids infusion, drug fever, and antiviral drugs. The provision of this action must also be accompanied by a prior examination.

Antiviral or antiviral drugs such as aciclovir should be given within 24 hours after a smallpox rash appears. Aciclovir is not a cure for chickenpox, but it can help prevent complications. Giving aciclovir to pregnant women is only recommended if you are pregnant for more than 20 weeks. Pregnant women who are exposed to chickenpox should do a bed rest and maintain endurance with nutritious food intake. In addition, pregnant women should also keep the wounds clean due to chickenpox by avoiding exposure to dust and clean it with a damp cloth.


Vaccine VZIG

If labor occurs before the incubation period or right at the time of delivery, the baby will be infected. And can cause defects in the intestine and central nervous system, given the antibodies in the mother's body has not formed. For that, babies born should be injected with special immunization as a precaution. The immune substance recommended by CDC and Prevention 1996 as a precaution for smallpox is varicella zoster immunoglobulin (VZIG). The dose is 125 U / 10 kg body weight, maximum 5 vial for pre or post infection.


However, not every pregnant woman needs to be injected with vaccine. Simply asked his health history, whether it has ever been hit by smallpox or not. When already hit, of course already have antibodies. While mothers who have not been exposed to smallpox, high risk of contracting chicken pox. Especially when in the neighborhood where he lived was infected with smallpox outbreaks. The mother is a priority for getting the VZIG vaccine.

Vaccines can be given to pregnant women before delivery and newborns. Principally VZIG is given within 96 hours after exposure to smallpox infection. In infants, injections are given 5 days before and after delivery with a VZIG vaccine or zoster immunoglobulin (ZIG). Provision of this vaccine in infants still allow 30-40 percent of infants remain infected with the virus.

In other words, this vaccine can protect 60-70 percent of infected infants from the risk of complications and death. There is also another vaccine, varivax which is a live virus vaccine. However, this vaccine is not recommended for pregnant women.


Avoid direct contact

Another way of prevention, namely avoiding direct contact with those who are sick. Transmission can occur since 48 hours before the first rash up to 5 days afterwards. Chickenpox can be transmitted through air breathing, direct contact with rash fluid, and contact with items affected by rash fluids such as sheets, blankets, and towels.

Papules and vesicles that have not been dried also contain many viruses and potentially spread them. Smallpox when pregnant with the virus in the blood (viremia), can spread through the placenta to the fetus.

Given the very vulnerable to infection, it is important for pregnant women to always maintain their health, among others, by always eating nutritious food.

Chickenpox in pregnant women does not affect the uterus. However, chickenpox also endanger the health of pregnant women and fetuses. Therefore, women suffering from chicken pox in pregnancy should be referred immediately to an obstetrician.

Next Read :  7 Facts about chicken pox that You must know

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Is a health and wellness enthusiast. In him free time, she loves to travel and taste different types of teas.

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