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Conditions InDepth: Infection in Pregnancy
Viruses, bacteria, and other germs cause infections. You may be more likely to get one during pregnancy because your immune system is lower. Many do not cause problems. But some can cause problems for you, your growing baby, or both. If you think you have an infection, talk to your doctor right away.
Some of the problems you may have are:
Also called chickenpox , children mostly get this virus. Most pregnant women do not get it. If you have had it before, it is unlikely that you will get it again. If you get chickenpox in the first 20 weeks, there is a very small chance that your baby will be born with health problems. If you get chickenpox around the time of your baby’s birth, your baby may be born with the infection. If this infection is treated, most babies have only a mild sickness. Without care, about a quarter of babies die.
Chorioamnionitis is a rare bacterial infection of the tissue around the amniotic fluid and the baby. It often starts when bacteria in your birth canal or rectum enters your womb. It is more likely to happen after the bag of water has broken. In most cases, having this infection means your baby must be delivered right away.
Cytomegalovirus (CMV) is a common viral infection that most often does not cause problems. When a pregnant woman has it, she can pass it on to her growing baby. In a small number of cases, this leads to serious sickness in the newborn, lasting health problems, and even death.
Group B Streptococcus
Group B streptococcus (GBS) is a type of bacterium. Many people carry GBS, but do not become ill. About a quarter of pregnant women carry GBS in the rectum or birth canal. A growing baby may get it before or during birth if the mother carries GBS. It can result in death. In pregnant women, GBS can cause infections of the bladder and womb, and stillbirth. All pregnant women with GBS are treated with IV antibiotics during labor.
Parvovirus B19 Infection
Parvovirus B19 infection (fifth disease) is a common virus that causes a slapped-cheek rash on the face. It happens most often in children. If you have contact with a person who has fifth disease, there are most often no problems for you or your growing baby. Rarely, it can cause a growing baby to have severe anemia (low iron), swelling, stillbirth, or miscarriage.
Sexually Transmitted Infections (STIs)
Some STIs, such as genital herpes , gonorrhea , chlamydia , herpes simplex virus, and bacterial vaginosis , are found in pregnant women. Others, such as HIV and syphilis, are less common in pregnant women. They can cause:
- Infertility (not being able to get pregnant in the future)
- Premature labor
- Premature breaking of the membranes around the growing baby
- Infection of the womb after birth
Some STIs can be passed from you to your baby before, during, or after birth. Care throughout pregnancy and safety steps during birth can help keep the baby safe.
Toxoplasmosis is caused by a parasite. It lives in the intestine of cats and is shed in cat feces, mainly into litter boxes and garden soil. It can cause serious problems in a growing baby, such as blindness, hearing loss, learning problems, miscarriage, and stillbirth.
Urinary Tract Infections (UTIs)
Urinary tract infections (UTIs) are more common during pregnancy. If it is not treated, it may lead to a kidney infection , which can cause early labor and low birth weight. If your doctor treats it early, it will not harm to your baby.What are the risk factors for infection during pregnancy?What are the symptoms of infection during pregnancy?How are infections during pregnancy diagnosed?What are the treatments for infection during pregnancy?Are there screening tests to monitor for infection during pregnancy?How can I reduce my risk of having an infection during pregnancy?What questions should I ask my doctor about infection during pregnancy?Where can I get more information about infection during pregnancy?
Bacterial vaginosis during pregnancy. American Pregnancy Association website. Available at: http://americanpregnancy.org/pregnancycomplications/bacterialvaginosis-2.html. Updated August 2015. Accessed August 13, 2018.
Chickenpox. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T116084/Chickenpox . Updated June 25, 2018. Accessed August 13, 2018.
Chorioamnionitis. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/health/diseases%5Fconditions/hic%5FAm%5FI%5FPregnant/hic%5FPremature%5FLabor/hic%5FChorioamnionitis. Updated October 18, 2012. Accessed August 13, 2018.
Cytomegalovirus (CMV) and congenital CMV infection. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/cmv/index.html. Updated June 6, 2018. Accessed August 13, 2018.
Group B Strep (GBS). Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/groupbstrep/index.html. Updated May 29, 2018. Accessed August 13, 2018.
Listeria and pregnancy. American Pregnancy Association website. Available at: http://www.americanpregnancy.org/pregnancyhealth/listeria.html. Updated March 10, 2017. Accessed August 13, 2018.
Pregnancy and fifth disease. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/parvovirusB19/pregnancy.html. Updated November 17, 2017. August 13, 2018.
STDs during pregnancy. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/pregnancy/default.htm. Updated October 6, 2017. Accessed August 13, 2018.
Toxoplasmosis. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/toxoplasmosis.html. Updated May 1, 2014. Accessed August 13, 2018.
Urinary tract infection during pregnancy. American Pregnancy Association website. Available at: http://www.americanpregnancy.org/pregnancycomplications/utiduringpreg.html. Updated March 10, 2017. Accessed August 13 ,2018.
Varicella. EBSCO DynaMed website. Available at: http://dynamed.ebscohost.com/about/about-us. Updated September 8, 2015. Accessed July 29, 2013.
- Reviewer: EBSCO Medical Review Board Beverly Siegal, MD, FACOG
- Review Date: 05/2018
- Update Date: 08/13/2018