Exposure to viral infections during pregnancy

Virus Action Risk to babs
Measles Check if immune: 2 vax or known immunity - if so, reassure unlikely
If contact has confirmed/likely measles, check maternal measles IgG → if negative, give human normal IgG
Intrauterine death, premature delivery
Rubella Check if immune: 2 vax, 1 vax + antibodies +ve, or past antibodies +ve - if so, reassure unlikely Congenital rubella
Parvovirus B19 Do serology Miscarriage, hydrops fetalis (↑ risk with gestation)