[Varicella during pregnancy: consequences for the mother and the newborn]
Thomas Ferry1, Yvan Vial, Bernard Vaudaux
1Département médico-chirurgical de pédiatrie, CHUV, 1011 Lausanne. thomas.ferry@chuv.ch
Abstract:
In our area, varicella is a frequent and essentially benign childhood disease. In contrast, the disease course is likely to be more severe or complicated in the adult, particularly so in the pregnant woman. There is a definite risk of congenital varicella syndrome when the chickenpox occurs during the first 20 weeks of pregnancy. This syndrome predominantly affects the skin, the subcutaneous tissue, muscles and bones, as well as the central nervous system, and can bring about major functional sequellae. In case of chickenpox occurring at the very end of pregnancy, transplacental transfer of the virus may result in a perinatal varicella disease. We propose a approach of each of these different situations.
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