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Jason's MD3 Women's > Infectious Disease In Preg > Flashcards

Infectious Disease In Preg Flashcards

1
Q

Perinatal infections?

A

Herpes simplex

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2
Q

Postpartum infection

A

Pertussis

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3
Q

Vertical transmission

A

In utero

In Breast milk: HIV

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4
Q

Incubation of varcella

A

2 weeks

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5
Q

Complications of varicella?

A

Pneumonitis In adults

SEcondary bacterial infection

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6
Q

When is maternal death most common in varicella?

A

3rd trimester

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7
Q

Congenital varicella syndrome?

A 
Shingles in utero
Short limbs
Microcephalic
Scarring
Mental retardation
GIT, GU abnormalities
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8
Q

Wen give prophylactic VZIG?

A

-Post exposure (

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9
Q

Can give varicella vaccine in preg?

A

Nope - live vaccine

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10
Q

CMV in fetus?

A

Microcephalic

IUGR

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11
Q

CMV serology probs?

A

IgM is detectable for months
Deactivation will detect IgM

Need to do avidity testing or past serum

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12
Q

Baby asymptomatic at birth for CMV how detect?

A

Audiometry
Visual
Pneumonitis
Microcephalic

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13
Q

Rx of CMV?

A

Gancyclovir

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14
Q

Influenza and preg deaths mainly from?

A

Premature birth

Early and late fetal death

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15
Q

Most probs happen when with influenza?

A

3rd trimester

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16
Q

Group B strep

A

Purple G-neg in chains like a ‘rockstar’

17
Q

GBS infection how?

A
  1. Ascending infection

2. At delivery

18
Q

Early onset GBS when? Presents?

A

1-2 days after birth

Pneumonia, less common meningitis

19
Q

Late onset GBS?

A

meningitis more likely

20
Q

Abx for GBS?

A
  • 4 hours prior to delivery
  • BenPen
  • Ampicilin

-Clindamycin/vancomycin if allergy

21
Q

Prophylaxis for GBS how good?

A

80%

22
Q

Primary casuse of EOS?

A

GBS

23
Q

When screen for GBS?

A

Screen at 35-37 weeks

24
Q

When does vertical transmission happen in Hep B?

A

During labour and birth

E antigen +ve = 90%
E antigen -ve =

25
Q

When give HBIG to baby?

A

Within 12 hours

26
Q

Hep C vertical transmission%?

A

5% if higher viral load

Co-infected with HIV = 45%

27
Q

Hep C Rx for preg?

A

Contraindicated

28
Q

Can breast feed with Hep C?

A

Nope

29
Q

When check Hep C in baby?

A

12-18 months

30
Q

Parvovirus when infectious?

A

Before the rash

31
Q

Parvoviruses can get what in utero?

A

Red cell aphasia if have thalassemia

Fetal Hydrops - Anaemia, cardiac failure, oedema

32
Q

Parvovirus investigation?

A

SErology

33
Q

If positive Parvovirus in mom, then what?

A

U/S every week for 12 weeks

34
Q

Rubella rash lasts?

A

2 and 3 days

35
Q

Rubella presents?

A

Lymphadenopathy: occipital node chains (95%)

Arthritis large joints

36
Q

Rubella in >12 weeks

A

Retinopathy and deafness only

37
Q

When rubella most damaging in utero?

A

1st trimester

38
Q

Fetal rubella detection?

A

Amniotic fluid

Cord blood

Jason's MD3 Women's (58 decks)

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