Parvovirus_B19_Flashcards
What is the conservative management for a mother infected with Parvovirus B19?
Conservative management includes fluids and simple analgesia such as paracetamol.
What advice should be given regarding work if a mother with Parvovirus B19 has controlled symptoms?
Advise that it is not usually necessary to stay off work if symptoms are controlled, as the infection is no longer contagious by the time the rash appears.
What steps should be taken in consultation with the ID department for Parvovirus B19 infection?
Contact the ID department for advice on laboratory investigations and monitoring, including confirming the diagnosis of Parvovirus B19 infection and checking for rubella infection.
What should be done once Parvovirus B19 infection is confirmed in a pregnant woman?
Once infection is confirmed, urgently refer to a fetal medicine specialist for regular fetal surveillance within 4 weeks of the onset of symptoms.
What is included in the regular fetal surveillance for Parvovirus B19 infection?
Regular fetal surveillance includes serial fetal ultrasounds and Doppler assessment to detect heart failure, anemia, or hydrops.
What is the risk of transmission of Parvovirus B19 to the fetus?
There is a 30% risk of transmission to the fetus.
What are the options if there is suspected fetal hydrops due to Parvovirus B19 infection?
Options include Parvovirus B19 viral DNA detection in amniotic fluid and fetal blood sampling and intrauterine red blood cell transfusion to reduce the fetal mortality rate.
