| Pregnancy and sexually transmitted viral infections. | |
| | |
MedLine Citation:
|
PMID: 21938124 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
|
Viral infections in pregnancy are a major cause of morbidity and mortality for both mother and fetus. Viral STIs occur as surface infection and then gradually infect immunologically protected sites. Therefore, these are asymptomatic, hidden and hence underdiagnosed, persistent and difficult to treat. HSV, HPV, HBV, HIV and CMV (cytomegalovirus) are the common ones. Most of these are transmitted during intrapartum period. Proper screening, identification and treatment offered during prenatal period may help in preventing their complications. Twenty five percent of women with a history of genital herpes have an outbreak at some point during the last month of pregnancy. Acyclovir is the accepted efficacious and safe therapy for HSV in pregnancy. Globally, HPV infection is the most common sexually transmitted infection. Neonatal transmission can occur in the absence of clinically evident lesions. HPV 6 or 11 may lead to Juvenile Onset Recurrent Respiratory Papillomatosis (JORRP). TCA, liquid nitrogen, laser ablation or electrocautery can be used to treat external genital HPV lesions at any time during pregnancy. Cesarean section is recommended only if the lesions are obstructing the birth canal. Mother to child transmission (MTCT) in HIV accounts for 15-30% during pregnancy and delivery, and a further 5-20% of transmission occurs through breastfeeding. HBV infection during pregnancy does not alter the natural course of the disease. In women who are seropositive for both HBsAg and HBeAg, vertical transmission is approximately 90%. Pregnancy is not a contraindication for HBV vaccination. Cytomegalovirus (CMV) is the most common intrauterine infection. Cytomegalic inclusion disease (CID) is the most severe form of congenital CMV infection. Treatment is supportive. |
| | |
Authors:
|
P Singhal; S Naswa; Y S Marfatia |
Related Documents
:
|
18762684 - Acute myocardial infarction in a 19 year-old female owing to hypercoagulable state of p... 8650614 - Hyperparathyroidism and pancreatitis during pregnancy. 8048994 - Acute maternal obstructive renal failure in a twin gestation despite normal physiologic... 18256934 - Pregnancy-associated liver disorders. 10385594 - Lung growth response after tracheal occlusion in fetal rabbits is gestational age-depen... 8447354 - Contraceptive efficacy of a monophasic oral contraceptive containing desogestrel. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Indian journal of sexually transmitted diseases Volume: 30 ISSN: 0253-7184 ISO Abbreviation: Indian J Sex Transm Dis Publication Date: 2009 Jul |
Date Detail:
|
Created Date: 2011-09-22 Completed Date: 2011-11-10 Revised Date: 2012-05-07 |
Medline Journal Info:
|
Nlm Unique ID: 8106446 Medline TA: Indian J Sex Transm Dis Country: India |
Other Details:
|
Languages: eng Pagination: 71-8 Citation Subset: - |
Affiliation:
|
Department of Skin VD, Government Medical College & SSG Hospital, Vadodara, Gujarat, India. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Wolf in lamb's skin: Vulval carcinoma mimicking bartholin gland abscess.
Next Document: Papular pruritic eruptions: A marker of progressive HIV disease in children: Experience from eastern...