OB test 2 set 4

from parent to offspring

• transplacentally
• transvaginally
• breast milk

tp= TORCH infections

• tv= contact with body fluids and vaginal secretions after ROM and during delivery
•   = sti's, HIV, GBS

bm= HIV and TB and CMV

• Toxoplamosis
• Other infections: Hep B, HIV
• Rubella
• Cytomegalovirus (CMV)
• Herpes Simplex Virus: types 1 and 2 (HSV)

• flu like symptoms, can cause preterm labor or miscarriage
• baby effects= IUGR, microcephaly, neurological

trans= Transplacental

• sources= CAT FECES
•  = raw meat

can cause liver disease in baby in unTx

• mom w/ active Hep B: State mandated Hep B immunoglobulin w/n 12 hrs after birth AND Hep B vaccine series
• causes jaundice, fever, rash
• can result in stillbirth or miscarriage

trans= tp, tv

• std of care
• HBsAg: blood test for Hep B surface antigen

ON ALL Women

• Hep B vaccine
• series of 3
• -birth
• -1 month
• -4 months

• IM vastus lateralis
• requires maternal consent

trans= tp

test= IgM titre for immunity

effect= 3 day rash, fever, HA

• 1st= teratogenic
• = congenital anomalies (cataracts, deaf, heart defects)
• =microcephaly
• =MR
• =cerebral palsy

• 2nd= deaf
• =systemic infections
• =IUGR
• =rash

3rd= NO teratogenic effects

instruct mom to avoid pregnancy for 1 month after receiving the Rubella vaccine

trans= all 3

• causes mono like symptoms in mom
• may have cervical discharge
• miscarriage or stillbirth

• baby:
• IUGR
• microcephaly
• rash
• jaundice
• hearing and learning disabilities

• safe sex
• early dx and tx

trans= tv and tp

miscarriage, stillbirth, PTL, sequela of virus

active= C/D

• non= vaginal possible if NO open lesions
•  = NO ARTIFICIAL rupture, scalpe electrodes, etc.

trans= all 3

• mom= prego can inc progression rate of disease
•  = inc risk for infects

• Dx= initial screen for HIV antibodies
• Western Blot or immunofluorescence assay

Mom Tx= Zidovudine / AZT = DOC

• Baby Tx= AZT severely dec. risk of HIV+
•  = repeat antibody testing every few months through 2yrs old
•  = infants will seroconvert (-) w/n 15 months

get from eating soft cheezes

• causes fever, ms aches, n/diarrhea
• can cause miscarriage, stillbirth, PTL, infection in newborn

Prego women 20X's more likely to get List. b/c of change in immune system

Tx= antibiotics

signs of hypovolemia after trauma may not be present until loss exceeds 1500 mL

• focus on maternal stabilization
• assess FHR, movement, and uterine contractions
• position women on side

fetal tachycardia is 1st sign on infection

abnl development of placental cells overgrow in uterus

no viable fetus

severe abd pain