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Chapter 37 - Infections in Pregnancy

from Section 4 - Maternal Medicine

Published online by Cambridge University Press:  20 November 2021

By
Sarah McRobbie
Edited by
Tahir Mahmood ,
Charles Savona Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

It is important to recognize and treat infection appropriately, as sepsis is a leading cause of maternal mortality and still features highly in reports [1]. Consideration should be given to recent suggested measures that may have significant positive impact including early recognition of an unwell woman’s clinical condition regardless of her vital signs to instigate timely treatment. Additionally, all pregnant women should be offered the influenza immunization as part of antenatal care [1].

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
 , pp. 311 - 323
Publisher: Cambridge University Press
Print publication year: 2021

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References

Knight, M, Nair, M, Tuffnell, D, et al., eds. Saving Lives, Improving Mothers’ Care: Surveillance of Maternal Deaths in the UK 2012–14 and Lessons Learned to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–14. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2016.Google Scholar
World Health Organization. Statement on Maternal Sepsis. 2017. https://apps.who.int/iris/bitstream/handle/10665/254608/WHO-RHR-17.02-eng.pdf?sequence=1[accessed online 30Nov 2019]Google Scholar
Rhodes, A, Evans, LE, Alhazzani, W, et al. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock. Crit Care Med. 2017;45(3):486–552.CrossRefGoogle ScholarPubMed
Stegman, BJ, Carey, JC. TORCH Infections. Toxoplasmosis, other (syphilis, varicella-zoster, parvovirus B19), rubella, cytomegalovirus (CMV), and herpes infections. Curr Womens Health Rep. 2002;2(4):253–83.Google Scholar
British HIV Association guidelines for the management of HIV infection in pregnant women. HIV Medicine. 2012;13(2):87–157.CrossRefGoogle Scholar
NICE. Antenatal Care for Uncomplicated Pregnancies. Clinical Guideline 62. Guidance issued March 2008; last modified December 2014.Google Scholar
Palmeira, P, Quinello, C, LuciaSilveira-Lessa, A, AugustaZago, C, Carneiro-Sampaio, M. IgG placental transfer in healthy and pathological pregnancies. J Immun Res. 2012;2012, Article ID 985646. doi: 10.1155/2012/985646Google Scholar
Schnarr, J, Smaill, F. Asymptomatic bacteriuria and symptomatic urinary tract infection in pregnancy. Eur J Clin Invest. 2008;38(2):50–7.CrossRefGoogle Scholar
Vazquez, JC, Abalos, E. Treatments for symptomatic urinary tract infections during pregnancy. Cochrane Database Syst Rev. 2011 Jan 19;2011(1):CD002256.Google Scholar
Scottish Intercollegiate Guidelines Network (SIGN). SIGN 88 – Management of Suspected Bacterial Urinary Tract Infection in Adults: A National Clinical Guideline. Edinburgh: SIGN; 2012.Google Scholar
Lee, M, Bozzo, P, Einarson, A, Koren, G. Urinary tract infections in pregnancy. Can Fam Physician. 2008;54(6),853–84.Google Scholar
The Prevention of Early-onset Neonatal Group B Streptococcal Disease, Green-top Guideline No 36. London: Royal College of Obstetricians and Gynaecologists, 2017.Google Scholar
NICE. Mastitis and Breast Abscess. Clinical Knowledge Summaries. 2015. http://cks.nice.org.uk/mastitis-and-breast-abscessGoogle Scholar
BASHH and Royal College of Obstetricians and Gynaecologists (RCOG). Management of Genital Herpes in pregnancy, London: RCOG; 2014.Google Scholar
Scottish Intercollegiate Guidelines Network (SIGN). SIGN 109 – Management of Genital Chlamydia Trachomatis Infection: A National Clinical Guideline. Edinburgh: SIGN; 2012.Google Scholar
Chlamydia Diagnosis and Management. BASHH Guidelines. www.bashhguidelines.org/current-guidelines/urethritis-and-cervicitis/chlamydia-2015/.Google Scholar
Chicken Pox in Pregnancy, Green-top Guideline No 13. London: Royal College of Obstetricians and Gynaecologists, 2015.Google Scholar
NICE. Parvovirus B19 Infection Scenario: Suspected Parvovirus B19 or Possible Exposure – Pregnant Women. Clinical Knowledge Summaries. 2010. http://cks.nice.org.uk/parvovirus-b19-infection#!scenario:2Google Scholar
Brochot, C, Collinet, P, Provost, N, Subtil, D. Mirror syndrome due to parvovirus B19 hydrops complicated by severe maternal pulmonary effusion. Prenat Diagn. 2006;26:179–80. doi: 10.1002/pd.1342.CrossRefGoogle ScholarPubMed
Carlson, A, Norwitz, ER, Stiller, RJ. Cytomegalovirus infection in pregnancy: should all women be screened? Rev Obstet Gynecol. 2010;3(4):172–9.Google ScholarPubMed
Puder, KS, Treadwell, MC, Gonik, B. Ultrasound characteristics of in utero infection. Infect Dis Obstet Gynecol. 1997;5:262–70.Google Scholar
Nelson-Piercy, C. ed. Chapter 15. In Handbook of Obstetric Medicine, 4th ed. London: Informa Healthcare;2010.Google Scholar
Paquet, C, Yudin, MH. Toxoplasmosis in pregnancy: prevention, screening, and treatment. J Obstet Gynaecol Can. 2013 Jan;35(1):78–81.Google Scholar
The Diagnosis and Treatment of Malaria in Pregnancy, Green-top Guideline No 54b. London: Royal College of Obstetricians and Gynaecologists, 2010.Google Scholar
The Prevention of Malaria in Pregnancy, Green-top Guideline 54a. London: Royal College of Obstetricians and Gynaecologists, 2010.Google Scholar
Gitau, G, Eldred, J. Malaria in pregnancy: clinical, therapeutic and prophylactic considerations. Obstet Gynaecol. 2005;7:5–11CrossRefGoogle Scholar
Rogerson, S, Desai, M, Mayor, A, et al. Burden, pathology and costs of malaria in pregnancy: new developments for an old problem. Lancet Infect Dis. 2018;18:e107–e118.Google Scholar
Pregnancy Management in the Context of Zika Virus Infection. World Health Organisation Interim Guidance Update. 13 May 2016. https://apps.who.int/iris/bitstream/handle/10665/204520/WHO_ZIKV_MOC_16.2_eng.pdf;jsessionid=B3164F862927FBB741B7F84B4E5DC74 C?sequence=1Google Scholar
Meaney-Delman, D, Rasmussen, S, Staples, J, et al. Zika virus and pregnancy. What obstetric healthcare providers need to know. Obstet Gynaecol. 2016;127(4):642–8. https//doi: 10.1097/AOG.0000000000001378Google Scholar
Oeser, C, Aarons, E, Heath, PT, et al. Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance. Epidemiol Infect. 2019;147:e262.Google Scholar
RCOG/RCM/PHE/HPS Clinical Guidelines. Zika Virus Infection and Pregnancy: Information for Healthcare Professionals. 17 June 2016, updated 27 February 2019. www.rcog.org.uk/globalassets/documents/guidelines/zika-virus-rcog-feb-2019.pdfGoogle Scholar
World Health Organization. Zika Virus. 20 July 2018. www.who.int/en/news-room/fact-sheets/detail/zika-virusGoogle Scholar
Leonard, A, Wright, A, Saavedra-Campos, M, et al. Severe group A streptococcal infections in mothers and their newborns in London and the South East, 2010–2016: assessment of risk and audit of public health management. BJOG. 2018;126(1):44–53 https://doi.org/10.1111/1471–0528.15415Google Scholar
Hughes, BL. Group A streptococcus puerperal sepsis: an emerging obstetric infection? BJOG.2018;126(1). https://doi.org/10.1111/1471–0528.15485Google ScholarPubMed
Bacterial Sepsis in Pregnancy, Green-top Guideline No 64a. London: Royal College of Obstetricians and Gynaecologists, 2012.Google Scholar
Semmelweis, I. (1861) Die Aetiologie, der Begriff und die Prophylaxis des Kindbettfiebers. [The etiology, concept and prophylaxis of childbed fever]. Pest, Wien und Leipzig: Hartleben’s Verlag–Expedition.Google Scholar

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