Infections in Pregnancy Flashcards
This condition presents with thin, greyish white discharge that can have a fishy odor & is diagnosed with clue cells. What is the condition and what are the screening recommendations in pregnant persons?
Bacterial vaginosis
Don’t screen if asymptomatic
This condition is not an STI but can colonize the genital area and cause serious complications in pregnancy?
Group B strep
Fetal complications like pneumonia, meningitis, and sepsis are caused by what organism?
GBS
When is it appropriate to screen for group B strep?
35-37 weeks
If a pregnant persons UA results show 10^5 of GBS this indicates what and does it require treatment?
- indicates heavy colonization ( or GBS bacteriuria) that ascended to bladder
- Treat this if asymptomatic or symptomatic;
if dx with GBS <35 weeks, when do we treat?
At time of dx & again at labor no matter what
When do we use intrapartum prophylaxis (3 indications)?
- Positive urine culture at any point in pregnancy
- Positive test at 35-37 weeks screening
- Prior infant with GBS
How do we treat GBS in pregnant people?
Penicillin G or Ampicillin
What are the 6 infections in pregnancy that are teratogenic?
- Cytomegalovirus (CMV)
- HSV
- Rubella
- Toxoplasmosis (cat skin)
- Varicella
- Zika
If a patient has HSV, when is it appropriate to provide suppressive therapy?
36 weeks and until birth
If a patient has active HSV genital lesions and goes into labor, how should you proceed?
C-section to avoid giving it to baby
This infection can cause vision, hearing, and heart defects to the fetus; mother should get vaccinated 3 months prior to conception if possible (no earlier)?
Rubella
This infection causes limb hypoplasia, microcephaly, and mortality in fetuses?
Varicella
What can a varicella infection cause in a pregnant person that is fatal and how is it treated?
varicella pneumonia
treat with antivirals
This infection is commonly asymptomatic, but can present with fever, chills, and lymphadenopathy in the pregnant person?
toxoplasmosis
the most common fetal complication from this infection is retinochoroiditis?
toxoplasmosis
Neural defects, sensorineural hearing loss before age 3, and a neonatal petechial rash is caused by what infection?
CMV
What three conditions are always screened for in pregnancy?
HIV, Syphilis, HEP C
What vaccinations are safe for pregnant people?
TDAP
Covid 19
Influenza - dead virus
What virus is usually passed during labor and can be halted in fetus if give immunoglobulin after birth?
Hep B
This infection is usually passed to the fetus via amniotic puncture or breastfeeding?
Hep C
This infection is transmitted to the fetus via the placenta in the second half of pregnancy?
Syphilis
What infection can cause stillbirth, hydrops fetalis, Hutchinson’s teeth, mortality, and saddle nose in the fetus?
syphilis
When do we test pregnant people for syphilis?
28-32 weeks and at delivery
This infection can come from bugs or sexual contact, and causes hydrocephaly and abnormal brain development in fetuses?
Zika
What infection causes the biggest risk for the pregnant person and not the fetus?
Influenza
