Rubella, also known as German measles, during pregnancy is a serious concern due to the risk of congenital rubella syndrome (CRS), a condition that can affect the baby if the mother contracts rubella during pregnancy. Here’s what you need to know if you’ve had rubella during your pregnancy, particularly in the later months.
Can Congenital Rubella Be Prevented?
Congenital rubella syndrome is most likely to occur if a mother contracts rubella during the first trimester of pregnancy. This is the critical period when the baby’s organs are developing, and the virus can cause severe defects. Common symptoms of CRS in newborns include:
- Cataracts. Clouding of the eye’s lens, which can affect vision.
- Congenital heart defects. Structural problems with the heart.
- Hearing loss or deafness. Often irreversible.
Fortunately, the risk of CRS decreases significantly if rubella occurs after the first trimester. By the third or fourth month, the likelihood of the baby being affected is much lower. However, it is important to note that rubella during pregnancy does not always result in CRS.
What Should You Do If You’ve Had Rubella During Pregnancy?
If you had rubella during your later pregnancy months, follow these steps to ensure your baby’s health is monitored:
- Regular OB-GYN follow-ups. Your doctor will monitor your pregnancy closely to detect any potential effects on the baby.
- Prenatal ultrasounds and tests. Advanced imaging and blood tests can help identify possible congenital issues, such as heart defects.
- Postnatal pediatric care. After birth, your baby’s pediatrician may recommend screenings for hearing, vision, and developmental delays to address any issues early.
Potential Effects of Rubella Later in Pregnancy
While the risks of CRS are much lower after the first trimester, rubella can still have subtle effects on the baby. Some potential long-term concerns include:
- Developmental delays. These may affect learning and growth as the child gets older.
- Mild congenital conditions. Some defects, though rare, may still occur later in pregnancy.
Rubella during pregnancy can be worrisome, but contracting the virus in the later stages of pregnancy—like in your third or fourth month—significantly reduces the chances of severe congenital rubella syndrome. However, regular check-ups with your OB-GYN and ongoing monitoring after birth are essential to ensure your baby’s health and development.
If you’re planning future pregnancies, consider the rubella vaccine before conceiving to prevent potential risks. Always consult your healthcare provider for guidance and support throughout your pregnancy journey.
