Infections in Pregnancy Flashcards Preview

Year 3 - Repro and Anaesthetics > Infections in Pregnancy > Flashcards

Flashcards in Infections in Pregnancy Deck (34)
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1
Q

how is chicken pox spread?

A

repisratory droplets

2
Q

whata re the ysmptoms of chicken pox?

A

fever

malaise

vesicular rash

3
Q

normally hamrless in children but what is it like in adults?

A

higer morbidity - hepitatis, pneumonitis, ecephalitis

4
Q

chekcnpox complciates ever 3 in ______ pregnancy

A

1000

5
Q

small risk of congeital infection if maternal infection is in the first __ weeks of pregnancy

A

28

6
Q

what occurs in 2% of maternal pregnant chicken pox?

A
7
Q

significant exposure of varicella infection in pregnant women who is unsure if she is immune - what should you do?

A
8
Q

what do you do if a pregnant women does develop chicken pox?

A
9
Q

how is shingles/herpes zoster caused?

A

chicken pox reactivation which has remainted dorment

10
Q

what is parmavirus b19?

A

50% of pregnant owmen immune

common illness in children

adults may be susceptible

spread by respiratory secretions

causes fever, erythema and rash

most adults are asymptomatic

no vaccine or treatment

11
Q

what can infection of parmavirus b19 cause in pregnancy?

A

cardiac failure

hydrops fetalis

foetal death

12
Q

what is toxoplasmosis?

A

a disease that results from infection with the Toxoplasma gondii parasite, one of the world’s most common parasites. Infection usually occurs by eating undercooked contaminated meat, exposure from infected cat feces, or mother-to-child transmission during pregnancy

afeect 2 per 1000 pregnancies

13
Q

what does toxoplasmosis cause?

A

asymptomatic

or

mild flu like symptoms e.g. sore throat, fever, arthralgia, coryza

14
Q

whata re the rare complications of toxoplasmosis?

A

chorioretinitis

encephalitis

myocarditis

pneumonitis

15
Q

congenital infection is rare but can cause what problems?

A
16
Q
A

D

17
Q

part 2

A
18
Q

what is screen for at booking appointment?

A

hepatitis B, HIV and syphilis

not hepatitis C

19
Q

what may HIV increase the risk of?

A
20
Q

what are the aims of anti-retroviral treatment (cART)?

A
21
Q

how is hepatitis B spread?

A

Vertical transmission: Passage of a disease-causing agent (pathogen) from mother to baby during the period immediately before and after birth

also through blood and other bodily fluids

22
Q

many babies born when the mother have hepatitis B are likely………

A

to have it

23
Q

women with chornic HBV with a high viral load should be offered what?

A

tenofovir monotherapy in third triester to reduce risk of tranmission of hepaittis B to the baby

24
Q

can mothers that are pregnant get a hepaittis B vaccine?

A

yes as it isnt live

25
Q

what should the babies get when born if the mother has hepatitis B?

A
26
Q

hepatitis C is a ___ virus

A

RNA

27
Q

how is hepatitis C spread to the baby?

A

vertical transmission

1 in 20

higher if motther is also infected with HIV

28
Q

what are the indicaitons to offer hepatitis C antenatal screening

A
29
Q

how is syphilis spread?

A

Syphilis is a bacterial infection usually spread by sexual contact

caused by the spirochete bacterium Treponema pallidum

30
Q

how cna syphilis be cured?

A

course of antibiotics

31
Q

can you be infecte dmore than once with syphilis?

A

yes

32
Q

syphilis is associated with an increased risk of what?

A
33
Q

most neomates with syphilis are __________ at birth

A

asymptomatic

develop symptoms in first 5 weeks

34
Q

what is a frequent triad of symptoms found in children with syphilis?

A

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