Mumps

武功密笈

小黃藏書

OBS
GYN
Gyn Oncology
Infertility
Urogynecology

首頁 向上 Induction Induction of Labor Corticosteroid abruptio placentae Termination of Pregnancy at Term chlamydia amniotic fluid embolism Mumps Prolonged Preg

~ Mumps in Pregnancy ~

　

§ Background:

­ Incidence in pregnancy has been estimated to be from 0.8 to 10 cases per

10000 pregnancies.

­ The significance of this disease in obstetrics rests with its effects on the fetus.

　

§ Diagnosis:

­ Mainly based on clinical history and presentation:

close contact with a person who has acquired mumps

typical viral prodrome of fever, anorexia, malaise, and myalgia

infection and swelling of the glands, which will resolve in 1 week or less

　

§ Maternal and fetal effects:

­ Maternal effects:

Typically mumps is not appreciably more severe in pregnancy women

than it is in other adult women.

Parotitis, usually bilateral.

Mastitis and thyroiditis can occur in postpartum women, but not any more

frequently than nonpregnant women.

Rare complications: aseptic meningitis, myocarditis, nephritis, or arthritis.

­ Embryonic/Fetal effects:

Spontaneous abortion, when acquiring during first trimester

There are no evidence of increased risks of prematurity and congenital

anomalies while having mumps in pregnant women. Presence of maternal

mumps infections is not an indication for therapeutic abortion.

Congenital mumps or postnatally-acquired perinatal mumps: rare

　

§ Treatment and prevention:

­ Symptomatic management, such as analgesics, antipyretics, cold packs, etc.

­ Immunization (live attenuated mumps virus vaccine):

Two-dose schedule for child

Contraindications:

infants less than 1-year-old, pregnant women, immunocompromised patients

　

§ References:

1. Mumps in pregnancy. R. David Miller, MD, and W. David Hager, MD.

Contemporary OB/GYN Feb. 2000: 119-123

　

Filename: Mumps in Pregnancy