Congenital Rubella Syndrome

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Congenital Rubella Syndrome


  • 0-8 weeks gestation 90-100% have multiple defects
    • 4-12 weeks
      • eye - cataracts
      • ear - deafness
    • cardiac -5th to 12th week
    • CNS
  • 8-12 weeks 80-90% have multiple defects
  • 12-18 week risk is declining defects include
    • deafness
    • mental retardation
  • After 18 week less than 1% risk of deafness occurring
  • Also
    • foetal growth restriction
    • thrombocytopenia
    • hepatosplenomegaly
    • vasculitis
    • renal artery stenosis

Rubelliform Rash in Pregnancy (or contact)

  • take blood for SRH test within 15 days
    • if immune then relax
  • repeat SRH at 21 days
    • if seroconverts offer termination
 

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