Varicella in Pregnancy

doi:10.1017/9781108975780.079

Chapter 67 - Varicella in Pregnancy

from Section 11 - Infectious Conditions in Pregnancy

Published online by Cambridge University Press: 23 February 2023

Amira El-Messidi

Edited by

Amira El-Messidi and

Alan D. Cameron

Show author details

Amira El-Messidi: Affiliation:
McGill University, Montréal
Alan D. Cameron: Affiliation:
University of Glasgow

Book contents

Get access

Summary

A healthy 27-year-old G2P1 patient immigrated from Barbados last week. Her first appointment with you is in two days. She calls your office now concerned about her pregnancy, as her three-year-old son has chickenpox. She is currently at 15+2 weeks’ gestation by early dating sonography, which she had in her native country; routine prenatal investigations and aneuploidy screen were normal. Recent HIV testing was negative. She had a prior healthy pregnancy and term vaginal delivery.

Keywords

Varicella zoster virus, chickenpox, pregnancy Antenatal counseling, management Varicella zoster immunoglobulin (VZIG), acyclovir, valacyclovir Diagnosis Perinatal risks, complications, maternal-fetal morbidity, adverse outcome Varicella pneumonia, risk factors, treatment Fetal manifestations, sonography, anomalies Antepartum, intrapartum management Mode of delivery

Type: Chapter
Information: OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
, pp. 851 - 860

DOI: https://doi.org/10.1017/9781108975780.079 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Amirthalingam, G, Brown, K, Ramsay, M. Updated guidelines on postexposure prophylaxis (PEP) for varicella/shingles. Public Health England, June 2019.Google Scholar

An Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI). Updated recommendations for the use of varicella zoster immune globulin (VarIg) for the prevention of varicella in at-risk patients. Public Health Agency of Canada, June 2016. Available at www.canada.ca/en/public-health/services/publications/healthy-living/updated-recommendations-use-varicella-zoster-immune-globulin-varig-prevention-varicella-risk-patients.html. Accessed September 13, 2020.Google Scholar

Centers for Disease Control and Prevention (CDC). Updated recommendations for use of VariZIG- United States, 2013. MMWR Morb Mortal Wkly Rep 2013; 62(28):574–576.Google Scholar

Center for Disease Control and Prevention (CDC). Varicella: epidemiology and prevention of vaccine-preventable diseases. In The Pink Book: Course Textbook, 13th ed. Available at www.cdc.gov/vaccines/pubs/pinkbook/varicella.html. Accessed September 13, 2020.Google Scholar

Hayward, K, Cline, A, Stephens, A, et al. Management of herpes zoster (shingles) during pregnancy. J Obstet Gynaecol. 2018;38(7):887–894.Google Scholar

Mandelbrot, L. Fetal varicella – diagnosis, management, and outcome. Prenat Diagn. 2012;32(6):511–518.CrossRef Google Scholar PubMed

Rafael, TJ. Varicella. Chapter 51 in Berghella, V, ed. Maternal-Fetal Evidence Based Guidelines. Boca Raton, FL: CRC Press; 2017.Google Scholar

Royal College of Obstetricians and Gynaecologists. Chickenpox in pregnancy. Green-Top Guideline No. 13, 2015. Available at www.rcog.org.uk/globalassets/documents/guidelines/gtg13.pdf. Accessed September 13, 2020.Google Scholar

Shrim, A, Koren, G, Yudin, MH, et al. No. 274 – management of varicella infection (chickenpox) in pregnancy. J Obstet Gynaecol Can. 2018 Aug;40(8):e652–e657.Google Scholar

Varicella. Chapter 34 in The Green Book. Public Health England, June 2019.Google Scholar