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Chapter 63 - Parvovirus B19 Infection in Pregnancy

from Section 11 - Infectious Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Marie-France Lachapelle
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

You are on obstetrics call duty at a community hospital center, where a 30-year-old G2P1 elementary schoolteacher presents concerned, after receiving notification during this spring week holiday, that there is an outbreak of ‘slapped cheek syndrome’ among the children. The patient is at 16+3 weeks’ gestation by dating sonography performed by her primary care provider; first-trimester fetal morphology was normal with a low risk of aneuploidy. Three years ago, she had a healthy pregnancy and term vaginal delivery of her son, who currently attends daycare. The patient does not have any obstetric complaints.

Keywords

Parvovirus B19, fifth disease, pregnancyClinical manifestationsMechanism of action, pathophysiologyPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeAntepartum managementFetal manifestations, sonography, fetal anemia, cardiotocographyMiddle cerebral artery Doppler, techniqueMaternal serologyIntrauterine transfusionFetal morbidity, complications, adverse outcomeFetal sonography, manifestationsHydrops fetalis, nonimmune hydrops
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 809 - 821
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Attwood, LO, Holmes, NE, Hui, L. Identification and management of congenital parvovirus B19 infection. Prenat Diagn. 2020;40(13):1722–1731.CrossRefGoogle ScholarPubMed
Bascietto, F, Liberati, M, Murgano, D, et al. Outcome of fetuses with congenital parvovirus B19 infection: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018;52(5):569–576.CrossRefGoogle ScholarPubMed
Bhide, A, Acharya, G, Bilardo, CM, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol. 2013;41(2):233–239.Google ScholarPubMed
Brennand, J, Cameron, A. Fetal anaemia: diagnosis and management. Best Pract Res Clin Obstet Gynaecol. 2008;22(1):15–29.CrossRefGoogle ScholarPubMed
Crane, J, Mundle, W, Boucoiran, I. Maternal Fetal Medicine Committee. Parvovirus B19 infection in pregnancy. J Obstet Gynaecol Can. 2014;36(12):1107–1116.CrossRefGoogle ScholarPubMed
Désilets, V, De Bie, I, Audibert, F. No. 363 – Investigation and management of non-immune fetal hydrops. J Obstet Gynaecol Can. 2018;40(8):1077–1090.CrossRefGoogle ScholarPubMed
Khalil, A, Sotiriadis, A, Chaoui, R, et al. ISUOG Practice Guidelines: role of ultrasound in congenital infection. Ultrasound Obstet Gynecol. 2020;56(1):128–151.CrossRefGoogle ScholarPubMed
Lamont, RF, Sobel, JD, Vaisbuch, E, et al. Parvovirus B19 infection in human pregnancy. BJOG. 2011;118(2):175–186.CrossRefGoogle ScholarPubMed
Public Health England. 2019. Guidance on the investigations, diagnosis and management of viral illness or exposure to viral rash illness in pregnancy. Available at www.gov.uk/government/publications/viral-rash-in-pregnancy. Accessed February 18, 2021.Google Scholar
Society for Maternal-Fetal Medicine (SMFM), Norton, ME, Chauhan, SP, Dashe, JS. Society for maternal-fetal medicine (SMFM) clinical guideline No. 7: nonimmune hydrops fetalis. Am J Obstet Gynecol. 2015;212(2):127–139.CrossRefGoogle Scholar

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