A rubella infection in the first trimester carries which major fetal risk and what is the typical management approach?

A rubella infection in the first trimester carries which major fetal risk and what is the typical management approach?

• A. Congenital rubella syndrome; no antiviral treatment; discuss prognosis and options with patient; planning for delivery with supportive care if infected
• B. Fetal growth restriction
• C. Neural tube defects
• D. Preeclampsia

Answer: (A)

When rubella infects in the first trimester, the most significant fetal risk is congenital rubella syndrome, which can involve the eyes, ears, heart, and other organ systems. There is no antiviral treatment proven to prevent or cure rubella in pregnancy, so management centers on counseling about prognosis and options. If the pregnancy continues, plan for delivery in a facility capable of providing neonatal care for a baby with CRS. Postnatally, the infant is evaluated for CRS and managed for any related complications (e.g., hearing or vision issues, heart defects). The other listed risks are not primarily associated with rubella in early pregnancy.

When rubella infects in the first trimester, the most significant fetal risk is congenital rubella syndrome, which can involve the eyes, ears, heart, and other organ systems. There is no antiviral treatment proven to prevent or cure rubella in pregnancy, so management centers on counseling about prognosis and options. If the pregnancy continues, plan for delivery in a facility capable of providing neonatal care for a baby with CRS. Postnatally, the infant is evaluated for CRS and managed for any related complications (e.g., hearing or vision issues, heart defects). The other listed risks are not primarily associated with rubella in early pregnancy.