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Re: Chicken Pox exposure 1st trimesterFrom: DoctorJoe@aol.comFri Oct 25 14:23:20 1996
<<Patient 7w pregnant, non-VZ immune is exposed to daughter with chicken pox. Another Doc checks for Ab's, finds none and gives 1g VZIg. One week later the woman breaks out in a limited chicken pox rash (about 15-20 spots) with some slight systemic symptoms, resolves within 14 days. You see her at 19+ weeks, normal fetal anomaly scan and she asks how likley is her baby to be abnormal?>> I'd say her likelihood is about zero. If she was infected that early, any damage to the infant would be visible (microcephaly, missing arm, etc). And the risk is only 2-3% anyway. I would be pretty much globally reassured with a normal scan (assuming a technically adequate scan). <<Second scenario: Say now she doesn't consult Doc when rash breaks out, awaits spontaneous resolution, which is uneventful, and presents once again at 19+ weeks with a normal anomaly scan.>> Same as above. The normal scan is very reassuring to me. ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA ("The Big Easy") U.S.A. *************************************************
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