More than half of people in childhood suffered a disease such as chicken pox. Surely you remember how you or your friend walked, flashing in the sun with stains from disinfectants covering the small sores that appear on the skin. However, there are people who were fortunate enough, or not lucky enough, to have chickenpox in childhood.
But adults suffer from chickenpox quite hard and they can cause serious complications. Chickenpox during pregnancy in some cases can be dangerous - this applies to cases of infection in later terms. What to do if you picked up the disease in a similar period of your life, we learn from this article.
Danger to mother
Chickenpox in pregnant women is usually very hard to bear. The body, which is forced to support the fetus, does not find too much energy to fight the virus that struck it. As a rule, the mother feels such symptoms as weakness, loss of strength, depression, even prolonged depression caused by the effect of the disease on the nervous system.
During pregnancy, skin symptoms are also active - small sores appear throughout the body, which are a source of infection for healthy people around you.
A sick person can develop obstructive syndrome, or even pneumonia. It starts all innocently enough - there is a slight cough, discharge from the nose, and also phlegm in the throat. However, due to limitations in the use of drugs that have to be observed in the 2-3 trimester, many women suffer this ailment and lead the disease to the stage when it becomes truly dangerous.
Therefore, after feeling the first cold symptoms with chickenpox, immediately consult a doctor who will prescribe the appropriate treatment.
As a rule, with chickenpox, Acyclovir is prescribed, but it is done only in the early stages. Chickenpox in pregnant women can be treated with this drug only before the 20th week, since subsequently the potential damage to the health of the child will far exceed the positive effect achieved through the use of this remedy.
This treatment is especially dangerous in the third trimester, so it is replaced by simple maintenance therapy, as well as postpartum treatment of the child.
How dangerous is the disease for the fetus?
In pregnancy, chickenpox can be passed on to the baby, regardless of the current trimester of the fetus bearing. During this period of life of the future mother, the intrauterine infection that occurred may lead to the formation of large skin scars in the child, which can seriously affect his appearance.
Chickenpox is also dangerous due to the development of neurological problems, resulting in dysfunctions of such organs as:
- bladder( enuresis);
- intestines( enteritis, colitis, and metabolic disorders);
- respiratory tract( asthma, obstructive syndrome).
Chickenpox in pregnant women often leads to violations of the child's development, in particular, to slowing the growth of the limbs. In adulthood such defects are eliminated only in 25% of cases, therefore, situations where reduced arms and legs lead to a person's disability and prevent him from leading normal life are not uncommon.
During fetal gestation, it is recommended to avoid this apparently innocuous disease also because it can cause delays in the intellectual development of the child. If the period of infection was the first or second trimester, the probability of such a deviation will be much higher than during the third part of the gestation. Chickenpox and pregnancy are poorly tolerated together, since a child after a disease during fetal development may have visual problems. And, of course, in the first few years of life, the likelihood that he will get sick with the most chickenpox, or shingles, caused by the same virus, will be greater by 80%.
When will the risk be greatest?
Chickenpox in pregnant women can be carried differently depending on during which term the disease began. In particular, the first trimester is almost completely safe - the probability of transmission of the disease to the child is about 0.25-0.5%, which can be considered an insignificant indicator. However, at the intervals between 13 and 20 weeks, this indicator grows slightly and, according to statistics, 1-2% of mothers transmit the disease to the baby during intrauterine development.
Pregnancy and chickenpox are an almost safe combination between 20 and 36 weeks, because at this time the virus is almost unable to penetrate into amniotic fluid and cause infection of the child. The only problem that can arise in a baby whose mother was sick with chickenpox is the development of herpes zoster, which is difficult enough to treat.
But the third trimester and, in particular, the last weeks before childbirth, are the most risky for the transfer of the disease.
Chickenpox in pregnant women after 36 weeks is transmitted to the fetus with a probability that reaches 50%.The only plus that the transfer of the disease has at this time is the presence of antibodies in the mother's blood that allow the disease to flow without significant symptoms. The child can get complications and get sick soon after birth with shingles, but from chickenpox it is not necessary to treat it.
In the last two weeks before delivery, the proportion of cases of transmission of the disease to the baby reaches 80%, and due to the lack of necessary antibodies, it is born with stricken chickenpox. For treatment, doctors use Acyclovir, as well as Immunoglobulin, but the course of the disease can be quite severe and unpleasant.