4.3 Article

Varicella Zoster in pregnancy

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ELSEVIER
DOI: 10.1016/j.ejogrb.2021.01.009

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Chickenpox; Varicella; Fetal varicella syndrome; Varicella of newborn; Varicella immunoglobulin; Vaccine; Acyclovir

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Chickenpox during pregnancy can lead to serious complications, with prevention measures including vaccination and timely administration of varicella zoster immunoglobulin. Antiviral therapy and appropriate supportive treatment can improve maternal and neonatal outcomes.
Chickenpox during pregnancy can cause serious complications for both mother and fetus. This includes varicella pneumonia in the mother, fetal varicella syndrome and varicella of newborn. Primary prevention includes vaccination against varicella infection and is part of standard childhood immunisation programme in many countries. Timely post-exposure prophylaxis of susceptible pregnant women with varicella zoster immunoglobulin is key to preventing chickenpox during pregnancy and its adverse fetomaternal sequelae. Antiviral therapy and appropriate supportive treatment improve maternal and neonatal outcomes (C) 2021 Elsevier B.V. All rights reserved.

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