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Re: terminate the pregnancyFrom: DoctorJoe (DoctorJoe@aol.com)Fri May 22 09:45:34 1998
In a message dated 5/22/98 3:42:14 AM, you wrote: <<I want your advice about a patient. She is 26 yo 2p pregnant now (5+4w) LMP 12/4/98 Now she has an active infection with VZV ( varicella-zoster virus). The rush( VZV lesions) started at 28/4/98 before discover she was pregnant and finished at 10/5/98. Is the baby at high risk for congenital malformations? How i can manage this pregnancy? Terminate the pregnancy is the most appropriate treatment?.>> According to the literature, the risk of fetal varicella syndrome (with limb anomalies, etc) is about 2-3% when infection occurs before 20 weeks. However, at just 5 weeks and already ill, I would think you have a fair chance of the "all or none" phenomenon. If the baby is ultrasonographically normal by 10-12 weeks, I would think you'd be out of the woods. Joe P.
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