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DefinitionCongenital rubella is a group of physical abnormalities that occur in an infant as a result of infection of the mother with rubella virus.
Causes, incidence, and risk factors
Congenital rubella is caused by the destructive action of the rubella virus on the fetus at a critical time in development. The most critical time is the first trimester (the first 3 months of a pregnancy). After the 4 th month, maternal rubella infection is less likely to harm the developing fetus.
The incidence of rubella syndrome has decreased dramatically since the advent of rubella vaccine.
Risk factors include lack of the recommended rubella immunization and contact with a person who has rubella. Non-immunized, non-immune pregnant women are at risk for infection and subsequent damage to the fetus.
Signs and tests
Congenital heart disease findings:
Central nervous system findings:
Others associated findings:
There is no specific treatment for rubella syndrome. Care involves appropriate treatment of affected systems in consultation with your health care providers.
The prognosis for children with congenital rubella depends on the signs and symptoms present. Some findings, such as heart defects, can be corrected. However, findings such as nervous system damage cannot.
As described above under Signs and Tests and Symptoms.
Calling your health care providerCall your health care provider if you have concerns about congenital rubella, if you are unsure of your vaccination status, or if you or your child needs rubella vaccine.
Vaccination prior to pregnancy can prevent congenital rubella. Pregnant women who are non-immune should avoid contact with persons with rubella.
Update Date: 1/21/2004Philip L. Graham III, M.D., M.S., F.A.A.P., Department of Pediatrics, Children's Hospital of New York, Columbia University, New York, NY. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT