Pregnancy infections

Some pregnancy infections can be passed to the neonate. In such instances, monitor the baby for signs and symptoms of disease. This includes the following ... 

Hydration and electrolyte balance, often with ORT, are the cornerstone of treatment. The specific circumstances that antibiotics should be considered include high fevers, bloody stools, symptoms longer than 1 week, pregnancy, infection with HIV, and other immunocompromised hosts. 

Diseases during pregnancy—infections, infective hepatitis, amebiasis... 

Lamont, R.F., et al. 2003. The efficacy of vaginal clindamycin for the treatment of abnormal genital tract flora pregnancy. Infect Dis Obstet Gynecol 11 181. 

Hepatic venous thrombosis, also known as Budd-Chiari syndrome, is caused by hypercoagulable disorders precipitated by pregnancy, infection, and birth control medication. An acute painful abdomen, sudden enlargement of the liver, and the presence of ascites make up a triad of clinical symptoms that are important in the diagnosis of this syndrome. Myeloproliferative disorders such as polycythemia vera and paroxysmal nocturnal dyspnea were previously thought to be responsible. Factor V Leiden and prothrombin 20210 mutations are also known to be responsible, Other intraabdominal thromboses include portal vein thrombosis, mesenteric vein thrombosis and renal vein thrombosis. 

Kacmar J, Cheh E, Montagno A, Peipert JF. A randomized trial of azithromycin versus amoxicillin for the treatment of Chlamydia trachomatis in pregnancy. Infect Dis Obstet Gynecol 2001 9(4) 197-202. 

Miller JM Jr, Goodridge C (2000) Antenatal marijuana use is unrelated to sexually transmitted infections during pregnancy. Infect Dis Obstet Gynecol 8 155-157... 

Pregnancy, infection and malnutrition all make these types of anaemias worse. 

This drug is contraindicated in known cases of hypersensitivity to spectinomycin. In addition, the drug should not be given to infants. If another sexually transmitted disease is present with gonorrhea, additional anti-infectives may be needed to eradicate the infectious processes. Safe use during pregnancy (Category B) or lactation or in children has not been established. 

When the patient experiences emotional stress, infection, surgery, pregnancy, or an acute illness... 

Fludrocortisone is contraindicated in patients with hypersensitivity to fludrocortisone and those with systemic fungal infections. Fludrocortisone is used cautiously in patients with Addison s disease infection, and during pregnancy (Pregnancy Category C) and lactation. Fludrocortisone decreases the effects of the barbiturates, hydantoins, and rifampin. There is a decrease in serum levels of the salicylates when those agents are administered with fludrocortisone... 

The device is removed for the following reasons pelvic infection, endometritis, genital actinomycosis (a non contagious bacterial infection), intradable pelvic pain, pregnancy, endometrial or cervical malignancy, increase in length of the threads extending from the cervix or any other indication of partial expulsion. 

The antineoplastic dm are contraindicated in patients with leukopenia, thrombocytopenia, anemia, serious infections, serious renal disease, or known hypersensitivity to the drug and during pregnancy (see Display 55-1 for pregnancy classifications of selected antineoplastic drag s). 

Cytomegalovirus (CMV) Enveloped, icosahedral particles 150nm in diameter CMV is generally acquired in childhood as a subclinical infection. About 50% of adults carry the virus in a dormant state in white blood cells. The virus can cause severe disease (pneumonia, hepatitis, encephalitis) in immunocompromised patients. Primary infections during pregnancy can induce serious congenital abnormalities in the fetus... 

Togaviruses Rubella Spherical particles 70 nm in diameter, a tightly adherent envelope surrounds an icosahedral capsid Causes German measles in children. An infection contracted in the early stages of pregnancy can induce severe multiple congenital abnormalities, e.g. deafness, blindness, heart disease and mental retardation... 

From a therapeutic point of view, it is essential to confirm the presence of bacteriuria (a condition in which there are bacteria in the urine) since symptoms alone are not a reliable method of documenting infection. This applies particularly to bladder infection where the symptoms of burning micturition (dysuria) and frequency can be associated with a variety of non-bacteriuric conditions. Patients with symptomatic bacteriuria should always be treated. However, the necessity to treat asymptomatic bacteriuric patients varies with age and the presence or absence of underlying urinary tract abnormalities. In the pre-school child it is essential to treat all urinary tract infections and maintain the urine in a sterile state so that normal kidney maturation can proceed. Likewise in pregnancy there is a risk of infection ascending from the bladder to involve the kidney. This is a serious complication and may result in premature labour. Other indications for treating asymptomatic bacteriuria include the presence of underlying renal abnormalities such as stones which may be associated with repeated infections caused by Proteus spp. 

Rubella is a mild, often subclinical infection that is common amongst children aged between 4 and 9 years. Infection during the first trimester of pregnancy brings with it a... 

Owing to the risk of preterm labor that is associated with gynecologic infections during pregnancy, pregnant women require follow-up objective testing for most of these infections. This includes 38... 

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