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Question 749
Obstetric infection → Viral
Classification
Question
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Neonatal notification after maternal chickenpox
Question Stem
A woman had confirmed chickenpox at 18 weeks of gestation and subsequently has an uncomplicated term birth. Who should specifically be informed about the birth because of the maternal varicella history?
Options
A
A respiratory physician only
B
A dermatologist
C
A neonatologist
D
An ophthalmologist
E
A haematologist
Explanation
A neonatologist should be informed of the birth of all babies born to women who developed chickenpox at any gestation during pregnancy. This recommendation is not limited to maternal infection close to delivery. Maternal infection in the last 4 weeks carries a particularly important neonatal infection risk, but the notification recommendation applies after chickenpox at any gestation.
Option Validity
A) respiratory input may be relevant to severe maternal pneumonia but is not the universal neonatal notification requirement.
B) routine dermatology notification is not specified.
D) ophthalmology is not the routinely designated specialty for this notification.
E) routine haematology notification is not specified.
Further Reading
RCOG Green-top Guideline No. 13, Chickenpox in Pregnancy, section 6.3.