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
is there a treatment for rubella
no
what can first trimester infection with toxoplasmosis cause
in the fetus-- chorioretinitis microcephaly jaundice hepatosplenomegaly
adult S/S of toxoplasmosis
fever
malaise
LAD
rash
diagnosis of toxoplasmosis in neonate
percutaneous umbilical cord sampling
IgM antibodies
treatment of toxoplasmosis
pyrimethamine
spiramycin
signs and symptoms of syphilis in a baby
hepatosplenomegaly hemolysis LAD jaundice saber shins
how do you diagnose syphilis
antitreponemal antibodies
treatment of syphilis
one large dose of syphilis
how id N. gonorrhea transmitted to neonates
during birth to eye, oropharynx, external ear, anorectal mucosa
disseminates to cause arthritis, meningitis
treatment for N. gonorrhea
ceftriaxone, suprax PO
why do we care about maternal chlamydia
40% babies get conjunctivitis
10% babies get pneumonitis
treatment for chlamydia
zithromax
erythromycin
