Briefly about chickenpox
The causative agent of this disease is the herpesvirus of the third type. Infection of a person occurs by airborne droplets. The patient is contagious even before the appearance of rashes and a few days after recovery.
As the female immunity is weakened during the gestation period, this creates favorable conditions for infection. In pregnant women, chickenpox flows with the same symptoms as the rest of the patients, only they appear brighter.
The incubation period lasts up to 20 days. After this time, there are external signs of the disease. This deterioration in overall well-being, lack of appetite, headache, fever, characteristic blisters with a clear liquid. First these are separate bubbles, then their number increases. The formation of rashes lasts up to 7 days.
It is worth noting, that pregnant women are more likely to get complications in the form of herpetic pneumonia.
Chickenpox in the first trimester of pregnancy
Recall that during this period any infection is dangerous, because the laying of systems and organs of the future baby. Chickenpox is no exception, because the placenta can not yet protect the fetus from infection.
Infection of the future mother with varicella in the first trimester is rare. However, if this happens, it never fails without consequences. Possible death of the fetus, spontaneous miscarriage, deformities of the organs affected by the virus. There is a defeat of the organ of vision, underdevelopment of the limbs, CNS. All the consequences of a woman's disease become known after an ultrasound in the second trimester. If these are severe deformities and they are incompatible with life, then the pregnancy is interrupted.
Chickenpox in the 2nd trimester of pregnancy
This is a safer period. And if a woman at that time falls ill with chickenpox, then worry is no longer worth it. After all, by this time the placenta has already been formed completely. It protects the child, which eliminates the risk of infection. The protection of the baby is also ensured when the woman's ailment is severe.
Chickenpox in the 3rd trimester of pregnancy
It is dangerous when a woman becomes infected after the 36th week of pregnancy. And this danger increases with the approach of childbirth.
In this case, the body of a woman simply does not have time to create immunity to the disease. A child can catch both before birth, and during the passage of the birth canal, and in the early days of his life. In such situations, they speak of congenital chickenpox. It is difficult, with damage to the mucous membranes, skin, central nervous system, internal organs.
In general, the danger is not chickenpox, but its consequences. The most difficult situation develops if the future mother fell ill several days before the birth. Then intrauterine chickenpox receives up to 20% of all newborns. In this case, up to 30% of babies do not survive. Passive immunization is prescribed in this situation to all children.
That is, the level of danger of chickenpox for a pregnant woman and her child depends on the severity of the disease and the duration of infection.
Treatment of chicken pox during pregnancy
When a rash occurs, a woman should visit her gynecologist as soon as possible. In the second trimester, no specific treatment is required. It is necessary to process only a green of a rash. Strong itching is removed with calamine lotion. which perfectly removes this symptom.
If you are infected for a period longer than 20 weeks, the pregnant woman is prescribed immunoglobulin injections. Comparing all the risks, the doctor can prescribe the drug acyclovir. He fights the virus, reduces the severity of symptoms, accelerates recovery. The drug will be effective if you start it within 24 hours after the first rashes on the body.
When symptoms of chickenpox are found several days before the birth, doctors artificially delay them, which reduces the risk of infection of the baby. And after the appearance of it, an immunoglobulin is prescribed, which contains antibodies to chicken pox.