Document Detail


Termination of pregnancy for maternal toxoplasmosis.
MedLine Citation:
PMID:  7912304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Termination of pregnancy is usually recommended to pregnant women who have infection with Toxoplasma gondii before 26 weeks of pregnancy if the fetus is infected. No prospective studies are available on the outcome if such pregnancies are allowed to continue with anti-parasitic treatment. We prospectively studied 163 mothers with acute toxoplasma infection before 28 weeks of amenorrhoea. All received anti-parasitic treatment with 9 million IU spiramycin orally. 23 also received pyrimethamine and sulphadiazine. All had cordocentesis and regular obstetric ultrasound examinations. The 162 liveborn infants were followed up for 15 to 71 months. 3 fetuses died in utero. 27 of 162 liveborn infants had proven congenital toxoplasmosis: 10 had one or more clinical signs of congenital toxoplasmosis; 5 had isolated or multiple intracranial calcifications; 7 had peripheral chorioretinitis; and 2 had moderate ventricular dilations. All 27 are free from symptoms and have normal neurological development at 15 to 71 months of age. We conclude that in first and second trimester pregnancies with acute fetal toxoplasma infection, the pregnancy need not be interrupted if repeated fetal ultrasound is normal, and antiparasitic treatment is given.
Authors:
A Berrebi; W E Kobuch; M H Bessieres; M C Bloom; M Rolland; M F Sarramon; C Roques; A Fournié
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Lancet     Volume:  344     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-07-28     Completed Date:  1994-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  36-9     Citation Subset:  AIM; IM    
Affiliation:
University of Toulouse, Department of Obstetrics and Gynecology, CHU La Grave, France.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Eugenic*
Acute Disease
Female
Humans
Infant, Newborn
Pregnancy
Pregnancy Complications, Parasitic* / diagnosis,  drug therapy
Prospective Studies
Toxoplasmosis* / diagnosis,  drug therapy
Toxoplasmosis, Congenital / prevention & control
Ultrasonography, Prenatal
Comments/Corrections
Comment In:
Lancet. 1994 Aug 20;344(8921):541   [PMID:  7980786 ]
Lancet. 1994 Aug 20;344(8921):541   [PMID:  7914631 ]
Lancet. 1994 Aug 20;344(8921):540-1   [PMID:  7914630 ]

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