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Blognya Emak di Rumah ;)

Terinfeksi Cacar air saat hamil :(

sumber: milis sehat

berbahaya bila terinfeksi pada trismester pertama.. resiko besar juga bila kena cacar-nya kurang
dari 5 hari sebelum melahirkan.

udah pernah kena cacar air, gak jaminan akan terlindungi lagi lho.. tapiii efeknya gak separah yang belum pernah sama sekali. yang perlu diperhatikan masa inkubasi cacar air ini, sudah dimulai dari saat
sebelum tanda cacar air muncul, sampai bekas luka-nya kering semua.

cacar air adalah viral infection, yang gak bisa dilawab dg ab. setau saya acyclovir bisa membantu selama diberikan dalam 48 jam pertama.

jaga daya tahan tubuh aja mbak… karena ini sangat membantu dalam melawan virus varicella ini.

buat moms yang lagi planning buat hamil, jangan lupa lengkapi imunisasinya, supaya selama hamil gak dag dig dug lagi… dan anak bisa lahir dengan selamat dan sempurna😀

salam,
-ria-

http://www.mayoclinic.com/health/chickenpox/DS00053/DSECTION=5

*Chickenpox and pregnancy*
Other complications of chickenpox affect pregnant women. Chickenpox early on
in pregnancy can result in a variety of problems in a newborn, including low
birth weight and birth defects, such as limb abnormalities. A greater threat
to a baby occurs when the mother develops chickenpox in the week before
birth. Then it can cause a serious, life-threatening infection in a newborn.

If you’re pregnant and not immune to chickenpox, talk to your doctor about
the risks to you and your unborn child.

bukan trismester akhir pak…
tapi hanya 5 hari sebelum melahirkan sampai 2 hari setelah melahirkan.

kalau terinfeksi dalam trismester 3 sampai 5 hari sebelum melahirkan, si
bayi aman…. karena akan terbentuk antibodi pada tubuh si bayi, walaupun
kemungkinan besar si bayi akan terserang cacar air gak lama setelah lahir,
tapi umumnya tidak bahaya.

kalau terkena 5 hari sblm melahirkan, justru resikonya besar, krn antibodi
belum sempat terbentuk, anak udah keburu lahir, resiko neonatal varicella
sangat besar, dan relatif berbahaya.

sementara pada trisemster pertama, walaupun jarang, efek yang ditimbulkan
lebih menyeramkan…

http://www.mayoclinic.com/health/chickenpox-and-pregnancy/HO00036

Rarely, chickenpox (varicella) in the first 20 weeks of pregnancy can result
in multiple birth defects (congenital varicella syndrome), which include:

– Scars on the skin
– Muscle and bone defects
– Malformed limbs
– Smaller than normal head
– Blindness
– Mental retardation

buat mbak riri,
masih 30 minggu kan? gak usah kawatir, apalagi mbak udah pernah kena
sebelumnya.

maaf… saya bukan dokter.. hanya seorang ibu biasa.. jadi bisa banget
salah…
memang yang paling bijaksana rasanya menlengkapi imunisasi sebelum
memutuskan untuk hamil.

salam,
-ria-

http://www.babycenter.com/0_chicken-pox-during-pregnancy_9329.bc
What can happen to my baby if I get chicken pox while I’m pregnant?
Chances are good that no harm will come to your baby, but timing is a
factor.

If you get chicken pox during the first half of pregnancy, there’s a slight
risk that your baby will get something called congenital varicella syndrome.
This condition is characterized by birth defects, including skin scarring,
malformed limbs, an abnormally small head, vision or hearing problems, and
motor or mental developmental disabilities. A baby with congenital varicella
syndrome may also suffer poor growth in utero.

If you do contract chicken pox, you’ll have a detailed
ultrasoundat 18 to 20
weeks to look for signs of defects or other problems and at
least one follow-up sonogram later to see how your baby is doing. You may
also choose to meet with a genetic
counselorto discuss the
risks in your particular case and decide how you want to
proceed.

If you get chicken pox in the second half of pregnancy but more than five
days before giving birth, your baby will probably be fine. Here’s why: About
five days after coming down with chicken pox, your body develops antibodies
to the virus and passes them to your baby through the placenta, offering
protection that his own immature immune system can’t provide.

If you develop chicken pox five to 21 days before your baby is born, he
might develop chicken pox days after birth, but because of the antibodies he
received from you, it’s much less likely to be serious. (Some babies exposed
to chicken pox in utero, particularly those exposed five to 21 days before
birth, develop a case of shingles during infancy or early childhood without
having had chicken pox after birth, but it’s usually not serious.)

The most risky time to come down with chicken pox is between five days
before giving birth and two days after delivery, because then your baby is
exposed to the virus but doesn’t have had time to receive antibodies from
you before birth. In this case, he has a 30 to 40 percent chance of
developing what’s called neonatal varicella, or newborn chicken pox, which
can be serious and even life threatening, especially if left untreated.

Fortunately, your baby’s risk of a severe case can be greatly reduced if he
gets a shot of varicella zoster immune globulin (VZIG), a blood product that
contains chicken pox antibodies. He’ll be given the shot soon after birth if
your chicken pox showed up within five days of delivery or as soon as you
discover your
rash<
http://www.babycenter.com/search/showResultsForContent.htm?queryString=rash\

>if
it’s within two days after delivery.

If your baby shows any sign of developing the infection � such as coming
down with a
fever<
http://www.babycenter.com/search/showResultsForContent.htm?queryString=fev\
er
>or
showing a rash of even a few spots � he’ll be treated intravenously
with
the antiviral drug acyclovir.

===============

Re: [sehat] Re: cacar air..

pada trimester pertama itu terjadi proses pembentukan organ (organogenesis),
oleh karena itu trimester pertama rentan sekali akan infeksi virus atau
kekurangan zat nutrisi misalkan asam folat yang berpengaruh pada pembentukan
sistem saraf pusat.

nah bahaya infeksi virus measle, mumps, rubella, HSV, CMV, berbahaya pada
masa ini karena risiko kelaianan cacat bawaan (misalkan buta atau tuli) atau
keguguran. Kalau infeksi terjadi menjelang persalinan risiko infeksi
kongenital (lahir dalam keadaan infeksi) itu besar….

mudah mudahan mengerti ya…

dr Ian

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