infections in pregnancy Flashcards
what is the formal name for bacterial vaginosis
gadrnerella vaginalis
symptoms of bacterial vaginosis
gray/yellow malorodorous discharge
clue cells on wet prep
treatment for bacterial vaginosis
metronidazole in second or third trimester–do treat it
what outcomes are associated with untreated GBS
associated with UTI, chorioamnionitis, endometritis and neonatal sepsis
what is the rate of GBS sepsis
2-3/1000 live births associated with GBS sepsis
treatment for GBS sepsis
IV pen G or ampicilin indelivery
why do we care about active herpes infection in the mom
if mom has lesions, can give the baby viral sepsis on the way out–> herpes encephalitis
tx for intrapartum herpes
IV acyclovir–> C/S if active lesions
why do we care about varicella zoster in pregnancy
vertical transmission is possible and if mom gets chicken pox during pregnancy the baby could die
what do you do if unimmunized mom is exposed to varicella zoster
VZV immune globulin given to mom within 72 hours of EXPOSURE, can also give to infant
what are the signs and symptoms of CMV in a neonate
hepatosplenomegaly thrombocytopenia jaundice cerebral calcifications chorioretinitis interstitial pneumonia SNRL neuromuscular disorder
signs of rubella in an adult
maculopapular rash, arthralgia, LAD for 2-4 days
signs of rubella in an infant
deafness
CV anomalies
cataracts
MR (due to mitral stenosis)
how do you diagnose rubella in an infant
IgM titers in infant
should you give an MMR vaccine to a pregnant woman
no
