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Pregnancy is a big moment of happiness! But attention, any illness, even most insignificant, must be supervised closely during these nine months. It is notably the case of chickenpox. If the risk to be contaminated is weak, the consequences can be very serious. Chickenpox is before a whole infantile illness and it is important to recall that 95% of the population to the adult age are immunized. The women surrounding wall is therefore only rarely touched. Fortunately, bus beyond the pulmonary complications for the mother, this illness can entail serious aftermaths among the fetus. Courage, let's flee!Although missing of survey to this topic, one estimates that 500 to 700 future moms are, every year in France, concerned by this illness. If you already had chickenpox, you don't risk anything. In the contrary case, avoid to frequent the nurseries and the small patients. What is not always obvious since the children are infectious two days before the apparition of the first buttons. So in spite of these precautions, you were in contact with a child reaches chickenpox, contact your physician. He will immediately prescribe you a research of antibody. This simple blood test will permit to verify if you are immunized or no. Many adults don't remember to have contracted the illness in their childhood, whereas they are yet already protected. If your organism doesn't possess any defenses facing chickenpox, your physician will conduct the injection of specific antibodies destined to block the virus and will put a surveillance in place - notably échographique - stricter of your pregnancy. A fetal puncture can also be achieved: she will permit to know if an infection of the fetus is to fear. But your physician's attitude will essentially be dependent on the period of contamination, the risks not being the same all along your pregnancy. Of periods to risksChickenpox can lead to extremely serious complications at the adults. Among them, the pneumonia is the more dreaded. Putting the mother in danger, this complication can also entail a lack of oxygen for the fetus. But the main risk for your child is the materno-fetal transmission of the virus. The beginning and the end of pregnancy are the most dangerous periods. One distinguishes the risk of congenital chickenpox, contracted between the 8th week and the 24th week of amenorrhoea, of the risk of chickenpox néonatale that occurs in the three weeks preceding the childbirth. Between these two periods, this illness is insignificant. Before 24 weeks of amenorrhoea, the risk of contamination of the fetus is estimated to 8%, and in 2% of the cases, this contagion leads to a chickenpox congenital also named fetal chickenpox. If the risks are weak, they are serious: malformations, cutaneous anomalies (scars), neurological lesions (microcéphalie, hydrocephaly.), muscular or skeletal problems of development, ophthalmic lesions or intra-uterine growth delay. The chickenpox néonatale is contracted by the mother in the three weeks precedent the childbirth. One observes a transmission then to the child in 25 and 50% of the cases. More the mother contracts the illness early before the childbirth, less the consequences will be heavy for the baby. If the birth occurs less than 5 days after the beginning of the maternal eruption, the risk of pulmonary attack of the child is very important. Chickenpox is associated to a risk of mortality of 20 then to 30%. It is why the physicians dread the childbirth during this sharp phase and essayent to delay work with the help of medicines. Then if you consider making a child and that you are not immunized, speak to your physician. He is can be preferable to make vaccinate you. And once pregnant he will be too late to think of it. 2009-02-26
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