Cytomegalovirus and pregnancy

Infection with such complex names is caused by a virus from the herpes family. These microorganisms instantly spread throughout the body, leaving traces everywhere. Once infected with a virus, it can not be cured, because immunity to cytomegalovirus is not produced. But why, then, does cytomegalovirus receive such increased attention during pregnancy? This worries many expectant mothers. Let's figure it out.

What is dangerous for cytomegalovirus in pregnancy?

The fact is that this virus is often the cause of intrauterine infection. Especially dangerous is the infection from a sick person with an acute form of the disease. At this point, the microorganism is unabated by the production of antibodies. This allows him to easily penetrate from the mother's blood into the placenta and infect the fetus. In this case, infection occurs in 50% of cases.

It happens that a woman was sick before a virus. But her immunity due to hormonal adjustment or ARVI weakened, and she had a relapse. However, this situation is less dangerous, since the body already has antibodies to cytomegalovirus during pregnancy. Chances of the virus to penetrate into the placenta a little and, accordingly, to infect the fetus too.

However, let's say that the infection of the child with cytomegalovirus has occurred. Then what consequences can there be? There may be several options. At best, the infection develops latently. The damage to the fetus is minimal - just a small set of weight. A child is born and becomes a carrier of the virus, without even knowing it. However, in some cases, cytomegalovirus in pregnant women can lead to serious consequences. In acute form, infection of the fetus occurs, and intrauterine infection in the early stages can lead to spontaneous abortion or abnormal fetal development. If, at a later date, infection with cytomegalovirus occurs, pregnancy is rarely complicated by malformations or death of the child. But polyhydramnios are possible - frequent pathology in intrauterine infections, premature births and the so-called newborn cytomegaly. This condition is characterized by serious disorders of the nervous system, an increase in the spleen, liver, the appearance of "jelly", deafness.

Treatment of cytomegalovirus in pregnancy

The acute form of the virus is usually similar to influenza: a state of malaise, a slight increase in temperature. But most often in pregnant cytomegalovirus passes asymptomatically. Its existence is recognized only through laboratory tests for the presence of antibodies to the cytomegalovirus in the body with the definition of immunoglobulins-IgM and IgG. If the test for cytomegalovirus IgG is positive in pregnancy, then the possibility that infection of the fetus will occur is negligible. Provided that the woman did not become infected with the infection a few months before the "interesting" situation.

However, if the test for cytomegalovirus IgG during pregnancy is negative, and other antibodies - IgM and avid IgG - do not appear, the probability of infection of the fetus is quite high if the mother becomes infected. Future mothers who do not have antibodies to cytomegalovirus are at risk.

As for the very treatment of infection, none of the modern schemes out does not completely eliminate the virus. If the cytomegalovirus is asymptomatic, no drug therapy is required. Women with immunocompromised immunostimulating (tsikloferon) and antiviral drugs (foscarnet, ganciclovir, cidofovir) are prescribed.

Also, a woman needs to take tests to determine the presence of cytomegalovirus in planning pregnancy. When an acute form of the disease is found, conception is not recommended for 2 years, until the lanten form has come. A woman whose analysis is a denier should, if possible, be afraid of infection. Although it is difficult to do this - cytomegalovirus is transmitted through saliva, urine, blood and semen.