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immuglobin
Rubella cross placenta mom:mild disease baby:SERIOUS birth defects 1st trimester SCREEN! Vaccination:(not while pregnate) do not get pregnate for 3 months
Cytomeglaovirus (herpes family) cross placenta/breast milk Mom: rarly cause disease abortion 1/3 of time Baby:MR,blindness,not seen at birth isolate baby universal precaution
HIV symptom frequent Vaginal infections Treatment AZT to lessen chance for baby to only 2% Baby:enlarged spleen,cradel cap,infection prevent infections in baby may test + for a period of time NO BREASTFEEDING
VIRUS
No Cure
cross placenta
Herpes genitalia passed at birth if direct contact 1st 20weeks: abortion,IUGR,Preterm treat: symptom ACYCLOVIR C-section if active breastfeed OK
Varicella Direct contact Mom:flulike sym. and lesions Baby:1st tri. limb hypoplasia,cutanous scars,cataracts give Immunoglobin within 72hrs if mom does not have antibodies
HPV (CONDYLOMATA) TRANSMIT DURING BIRTH OR TRANSPLACENTALLY MOM: INCREASE RISK CANCER BABY: EPITHELIAL TUMOR OF LARYNX PODOPHYLLIN IN NON PREGNANCY ONLY CRYOTHERAPY C-SECTION =ACTIVE LESION