On risks and methods of combating congenital infections, Vasily Shahgildyan, Candidate of Medical Sciences, Candidate of Medical Sciences, H-Clinic Physical Physics Engineer, Peninal Medical Center, Clinical Hospital "Lapino" Group of Companies "Mother and Child", Senior Researcher FBUN "Central Research Institute of Epidemiology" Rospotrebnadzor
On risks and methods to combat congenital infections, Vasily Shahgildyan, Candidate of Medical Sciences, Candidate of Medical Sciences, An Infectious Physician Clinic, Phynatal Medical Center, Clinical Hospital "Lapino" Group of Companies "Mother and Child" , Senior Researcher of the Federal Scientific and Methodological Center for the Prevention and Control of AIDS FBUN "Central Research Institute of Epidemiology" of Rospotrebnadzor.
- In different countries, the volume of inspection on markers (laboratory signs) of infections that can infect and harm the fetus and a newborn child is different. Almost everywhere, a pregnant woman is examined for the presence of antibodies to rubella virus, syphilis causative agent, hepatitis B virus antigen, often for antibodies to hepatitis C virus and HIV. In our country, a woman is examined for the presence of antibodies to HIV twice: when setting up for dispensary accounting on pregnancy and for a period of 30 weeks. The question of the need for a planned examination of pregnant women for the presence of laboratory signs of other congenital infections (cytomegalovirus infection, toxoplasmosis, herpetic infections) is discussed.
In a number of European countries and the US, women do not undergo a survey for the presence of antibodies to these pathogens. I think that it is incorrect, and in orders of the Ministry of Health of the Russian Federation, it is also said about the need for research for pregnant women antibodies to causative agents of congenital diseases. Conductable serological studies on, so-called, Torch infections: toxoplasmosis, cytomegalovirus infection (CMV infection), genital herpes and, naturally, rubella. If necessary, studies are possible for the presence of antibodies to Varizella Zoster virus, sheets, Parvovirus B19 and other infectious agents.
- Perhaps we have even more problems than in Europe. There are questions about the quality of serological research performed, there is a problem of false positive results. Positive and negative results of analyzes must be correctly interpreted. With a number of diseases, it is impossible to be limited only by the study on antibodies, additional molecular diagnostic methods are appropriate, which are not mentioned in the orders of the Ministry of Health and are rarely used in practical health care. In addition, I suspect that in many women's consultations, commercial medical centers, the attitude to the survey of pregnant women for markers of innate infections is too formal: ordered - we will do, but there is no thoughtful relationship, understanding the relevance and non-use of the problem of congenital infectious pathology.
When setting for dispensary accounting in the first trimester of pregnancy, a woman is examined for the presence of antibodies to various viruses, toxoplasm.
Many doctors believe that if there are no antibodies to these pathogens - everything is fine. And such a case requires special attention, because it means the risk of primary infection of a woman during pregnancy, which dramatically increases the likelihood of child infection: up to 40-75% with acute CMV infection, up to 70% with primary genital herpes at the end of pregnancy, from 17 up to 80% depending on the term of pregnancy in acute toxoplasmosis. Therefore, in the absence of an IgG class antibodies to one or another pathogen, it is necessary to give absolutely clear recommendations for the prevention of infection.
For example, we must remind a woman who has no antibodies to cytomegalovirus (CMV), be sure to use barrier contraceptives during sexual contacts. If she has a senior child, it is impossible to lick his nipple or spoon; It is impossible to eat from one plate with a child, to eat at him, use one towel, etc.
Nowadays, there are many articles about the harmful effects of modern devices on the human body. Let's figure out myths or reality.
How it affected the child. First trimester. Only real examples. I can google myself and myself
Such a story - as soon as she talked about their position, all relatives and husband in one voice began to assure me that a little bit of live beer or 50 g of red
Top 10 drugs incompatible with alcohol
Breast accusation. There is an opinion that most of the proof of the breast is influenced by feeding.
Spermicides and barrier contraception for women
Find out the meaning of sleep if the pregnancy has dreamed. Dream book Juno about a pregnancy
Website about neurological diseases for doctors and patients.
15 week of pregnancy and changes in the body. Development of a child and abdomen growth, building communication with the child, surrender analyzes, etc.
Many women are confused in the estimates of pregnancy for weeks and that's why. Doctors consider the first day of the last day of menstruation, and many women are counting from the beginning of the menstruation delay. As a result, it turns out that the second week according to the estimates of the future mother is the sixth obstetric week. To avoid confusion in this article we will talk about W
Detailed information on the second month of pregnancy, symptoms and sensations. Starts from 5 weeks to 8 week. Power recommendations and information on the development of the fetus.
The response of the gynecologist on the site about treatment is the editors of the second fetus at double
Pregnant breast with second and more
I went to the ultrasound, the first screening (12 weeks exactly), put a frasonable pregnancy for a period of 8 weeks, is it possible that I walk with a dead child for 4 weeks and