Scarlet fever is known as an acute infection caused by group A beta-hemolytic streptococcus. Although the "victims" of scarlet fever are most often children of preschool and school age, sometimes this disease does not spare pregnant women. That is why the question of how scarlet fever is dangerous for a pregnant woman and her future baby is logical and relevant.
How to suspect scarlet fever?
The fact that a woman - scarlet fever, show some symptoms. First of all, this is a small-point rash (manifested on the first or second day of the disease). In this case, small pimples, if you press on them with your finger, disappear, and then again show up. The most abundant small-point rash is localized on the face. The nasolabial triangle remains clean from the rash and looks very pale. Another characteristic feature of scarlet fever is the accumulation of rashes in places of natural folds, that is, on folds of the skin. It appears in the form of dark red stripes. Approximately on the fourth or fifth day the rash becomes paler and soon disappears altogether, and at this point the scaling is evident.
Another symptom is a bright red (almost crimson) language. In addition to color, the graininess of the tongue is also noted. With all this, there is a significant increase in body temperature, and even fever. As a rule, the temperature rises to 38-40 degrees. There is also a general intoxication of the body. In almost all cases, scarlet fever is accompanied by angina, as the throat (s) is affected. In addition, it is possible to increase the cervical lymph nodes.
Very often scarlet fever during pregnancy is accompanied by severe vomiting.
After scarlet fever, various complications, including purulent otitis, are possible. Another fairly common complication is necrotizing and purulent lymphadenitis. Infectious and allergic complications are not excluded. Perhaps the development of rheumatism. Leaves scarlet fever "imprint" and on the cardiovascular system: blood pressure rises, tachycardia (rapid heartbeat) is manifested. Scarlet fever during pregnancy does not threaten only that woman who has specific immunity to the infection. In other words, if a woman has previously suffered this disease.
How is scarlet fever transmitted?
Specialists have found that most often scarlet fever occurs in regions with a temperate and cold climate. You can easily get scarlet fever. This disease is transmitted by airborne droplets (sneezing, cough, screaming, kisses and so on) and through household items (toys, dishes, linens). There is also an alimentary route of infection, which involves infection through food. The source of infection with scarlet fever is a sick person (maybe both a child and an adult). Practically, there are practically no methods that can prevent infection.
The most dangerous time for people around the patient with scarlet fever is the first days of the disease. And on the average in three weeks it becomes relatively safe for the health of others. By the way, you need to know that the carriers of Group A streptococci, which cause scarlet fever, are quite a lot among us. According to official statistics, 15-20% of the healthy population today are carriers, and many of them do not even know their status. At the same time, they can spread the virus for several months, or even years. But infection requires a fairly long and close communication with the carrier or patient.
The incubation period (the time for which the disease develops in the body) when infected with scarlet fever is from one to eleven days. If, after contact with a sick person, the pregnant woman does not show any symptoms during this period, then the infection has not occurred.
For particularly impressionable and suspicious expectant mothers should be informed that you should not be too nervous. After all, it is proved that the natural susceptibility in humans is quite high for this infection.
Another important point: after the transferred infection in the human body, type-specific immunity is produced. It means, that you can not get sick again with scarlet fever.
How does scarlet fever affect pregnancy: how dangerous is it for a pregnant woman and her baby?
According to experts, in most cases scarlet fever occurs in mild form. If this is so, then there is practically no danger to the health of the future mother and her baby. Nevertheless, this does not mean that you should not not consult a doctor. Observation of a specialist is mandatory, because the doctor must determine the tactics of further therapy, as well as the management of pregnancy.
If the form of the disease is complicated or, in other words, full-fledged, it is not very good. The first reason - the need for treatment with antibiotics, which is extremely undesirable during the gestation of the baby. Furthermore, in the first trimester of pregnancy, when there is a laying and the formation of absolutely all important internal organs and human systems, the intake of antibiotics is strictly contraindicated. These drugs can cause pathological abnormalities in the development of the organs of the future baby.
Especially dangerous is scarlet fever in the early stages - in the first trimester of pregnancy. During this period there is a high probability of spontaneous abortion (miscarriage). Forecasts, however, in case of infection on a later date, will be more optimistic. Since the second half of the second trimester, antibiotic treatment will not be so destructive. But this does not mean that you can let things go by themselves: after recovery you will have to undergo additional tests, in particular, ultrasound of the fetus, and tests.
Among the negative consequences of the disease during pregnancy are the following: pregnancy miscarriage, intrauterine hypoxia (oxygen starvation) of the fetus, various complications during childbirth, pneumonia (pneumonia) in a newborn baby.
How and what to treat scarlet fever during pregnancy?
In pregnant women scarlet fever is treated, appointing a bed rest, which, on average, lasts a week, as well as a sparing diet. In addition, the doctor will focus on the need for copious drinking, which will help to eliminate toxins as quickly as possible. To relieve the pain in the throat, periodical and frequent rinses of the throat. For rinsing, use furatsilin and natural antiseptics: broths of chamomile, calendula, eucalyptus. If the case is very much neglected, the doctor will prescribe a "non-aggressive" antibiotic. Usually, treatment is carried out with antibiotics of the penicillin series, erythromycin. After a twelve-week period, in case of acute necessity, they are used in expectant mothers. In addition, prescribe fortifying and vitamin preparations.