preg woman -rubella - mahi10 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 3 (https://www.usmleforum.com/forumdisplay.php?fid=6) +--- Thread: preg woman -rubella - mahi10 (/showthread.php?tid=430614)

preg woman -rubella - mahi10 - ArchivalUser - 07-22-2009 what if 1. she get exposed to rubella 2. she gets infected with rubella thanks 0 - ArchivalUser - 07-22-2009 1. Check titre ---> if Ab present --->nothing if no Ab: gibe varicella IG within 3 days ---> after pregnancy give vaccine 2. VZIG is ineffective now...so conservative mgmt, with fetal follow up for complication 0 - ArchivalUser - 07-22-2009 harry mahi asked ribella.u telling varicella. 0 - ArchivalUser - 07-22-2009 ohhhhhh.....(( 0 - ArchivalUser - 07-22-2009 check titre---- IgM (acute). if IgG-----check in 7 days-----4 fold increase----fetus exposed-----amniotic pcr----+--- chances of rubella v. high in first tri----therapeutic abortion 2/3 tri---- cont. preg. 0 - ArchivalUser - 07-22-2009 Thanks everyone 0 - ArchivalUser - 07-22-2009 I think if titer + and no imuunization during 1st trimester then consider elective abortion. if, 2nd or 3rd trimester then expectant management. Please correct me if im wrong here.