Can I Have a Healthy Baby With Cmv Ab Igg High
What is CMV?
Cytomegalovirus (CMV) is a common virus in the canker virus family. Fifty per cent people have been infected past young adulthood and up to 85 per cent by 40 years of age.
Peaks of infection occur in children less than 2 years age, and during adolescence. Once a person becomes infected, the virus remains alive merely usually inactive (dormant) within that person'south torso for life.
Information technology is rare for a person to get symptoms later the initial infection unless their allowed organisation is weakened by severe disease and treatments (east.grand. for cancer).
Reactivation can occur during pregnancy in women who accept had infection previously, with a very small risk of transmission of CMV to the unborn babe.
What are the symptoms?
Children and adults with healthy immune systems do non usually develop symptoms when infected, only may develop an illness similar to glandular fever with tiredness, sore throat, swollen glands and fever. People with a weakened allowed organization are more than likely to develop symptoms.
How is CMV spread?
Humans are the just source of CMV. The virus is plant in urine, saliva, nasal mucous, breast milk, vaginal secretions and semen of infected people.
The chance of manual from children born with disability due to CMV infection is no greater than that from children who take CMV infection without symptoms.
CMV is spread through:
- shut contact with a person excreting the virus in their saliva, nasal mucous, urine or other body fluid
- handling children's toys that take saliva or mucous on them, or handling contaminated items like dingy tissues or soiled nappies then touching the eyes, olfactory organ or oral cavity without first washing hands
- from mother to her unborn child as a result of maternal infection during pregnancy
- from mother to her unborn child as a result of virus reactivation during pregnancy
- breast milk of an infected woman who is breast feeding
- sexual contact.
Who is at chance?
If a woman is newly infected with CMV while pregnant, there is a chance that her unborn baby volition likewise become infected (built CMV). Infected babies may, but not e'er, be built-in with a inability.
The highest risk to the unborn baby occurs when a woman who has never had CMV earlier is infected with the virus for the kickoff time during pregnancy (primary CMV infection) and when infection occurs during the first half of the pregnancy. Infection during one pregnancy does non increase the adventure for subsequent pregnancies. However, if primary infection occurs, consideration should be given to waiting for at least 12 months earlier becoming pregnant again.
Studies in Australia have shown that out of 1,000 alive births, near six infants will accept built CMV infection and one-2 of those 6 infants (about one in 1000 infants overall) will accept permanent disabilities of varying caste. These tin include hearing loss, vision loss, modest head size, cerebral palsy, developmental delay or intellectual disability, and in rare cases, death.
Sometimes, the virus may reactivate while a adult female is pregnant but reactivation does not usually cause issues to the woman or her unborn babe.
Can congenital CMV be prevented?
There is no licensed vaccine against CMV currently bachelor.
Meaning women are recommended to take steps to reduce their risk of exposure to CMV so reduce the risk of their developing baby condign infected. Preventive steps include:
- wash easily often with soap and running water for at to the lowest degree xv seconds and dry them thoroughly. This should exist done especially after close contact with immature children, changing nappies, blowing noses, feeding a young kid, and handling children's toys, dummies/soothers.
- practise not share food, drinks, eating utensils or toothbrushes with young children.
- avoid contact with saliva when kissing a child.
- use uncomplicated detergent and h2o to clean toys, countertops and other surfaces that come into contact with children's urine, mucous or saliva.
Kid care workers who are pregnant or considering pregnancy should pay item attention to good hand hygiene, particularly after irresolute nappies or assisting with blowing noses or toileting.
How is congenital CMV diagnosed?
A person who has been infected with CMV will develop antibodies in their blood that indicate infection has occurred, either recently, or in the past. These antibodies stay in the torso for the residuum of that person's life. Other tests, that observe the virus, are used to determine if a person has an active CMV infection.
Testing for CMV is non routinely recommended for all women during pregnancy or for newborn babies. Testing for CMV should only be offered to significant women if they come into frequent contact with large numbers of very young children (eg kid care workers).
Infants built-in to mothers diagnosed with a main CMV infection during pregnancy should be tested for congenital CMV infection. Babies who do not have a normal hearing screening examination at birth (Swish) can likewise exist tested for congenital CMV, as hearing loss is the most common sign of built CMV. Notwithstanding, some infants with congenital CMV infection who announced healthy at birth develop hearing or vision loss over time. For this reason babies known to be infected should accept their hearing and vision assessed regularly.
Can congenital CMV be treated?
Pregnant women diagnosed with chief (kickoff) CMV infection should be referred for specialist follow up and counselling in order to receive up to appointment information most the risks and benefits of the available treatments, which are currently experimental.
Infants born with neurological disabilities due to CMV may benefit from early antiviral treatment; this should be discussed with a specialist paediatrician.
Nearly babies born with CMV infection grow upwardly with normal wellness. Concerns about CMV infection can be discussed with a general practitioner or MotherSafe- a gratuitous telephone service that provides a comprehensive counselling service for women and their healthcare providers concerned about exposures during pregnancy and breastfeeding.
What is the public wellness response?
CMV infection is not a notifiable disease in New South Wales. Infection with CMV or congenital CMV does non impact access to school, work or childcare, including infants who take disabilities due to congenital CMV.
Further information
- NSW Wellness.
Handle with Care: Looking after yourself during pregnancy. - The Children's Infirmary at Westmead - Cytomegalovirus (CMV) Factsheet
- United states CDC - Cytomegalovirus (CMV) and Pregnancy
- Congenital CMV Association of Australia website
- NHMRC. Staying Good for you: Preventing infectious diseases in early childhood instruction and care services (5th Edition) 2013
- RACGP Webinar (beneath): Congenital CMV - Common and Commonly Missed
Transcript: Congenital CMV - Mutual and Normally Missed
For farther information please call your local Public Health Unit on 1300 066 055.
Can I Have a Healthy Baby With Cmv Ab Igg High
Source: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/cmv-and-pregnancy.aspx