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Case Discussion : Infection. May 2014. Consider Heidi…. Heidi presents to confirm second pregnancy She is working four days per week with a young son in child care Heidi is concerned about the fact that he is often sick and she is worried about contracting infections from him.

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Presentation Transcript
consider heidi
Consider Heidi…
  • Heidi presents to confirm second pregnancy
  • She is working four days per week with a young son in child care
  • Heidi is concerned about the fact that he is often sick and she is worried about contracting infections from him.
    • What are the issues for Heidi?
    • Would you consider extra screening and interventions at this point?
heidi represents
Heidi Represents…
  • Heidi is 15 weeks pregnant
  • Her son came home from child care feeling unwell and has bright red rash on cheeks
  • Heidi presents to GP with her son who is diagnosed with parvovirus based on his clinical presentation
  • What are the implications for Heidi?
heidi is concerned
Heidi is concerned…
  • Heidi is aware that contracting parvovirus in pregnancy can be dangerous. She is worried.
  • She is asking what to do now?
heidi is concerned1
Heidi is concerned…
  • After discussion and negotiation with Heidi, you have performed parvovirus serology
  • Heidi is IgM + and IgG negative
      • What do you tell Heidi?
      • What do you do now?
slide6

Take Home Messages…

  • At booking, important to consider extra risk of exposure to infection
  • Ensure immunisation schedule is up-to-date – preconception if possible
  • Refer to Immunisation Handbook re current guidelines for immunisation in preconception and in pregnancy
  • Despite high immunity in the adult population, contracting Parvovirus remains a risk in pregnant women
  • This infection can be sub clinical in 30 – 40% of cases
  • Parvovirus can cause early pregnancy loss, chronic maternal anaemia, severe foetal anaemia and foetal hydrops