What to Do When a Mother Contracts Varicella Just Before Delivery

What should be done if a mother contracts varicella 6 days before delivery?

• A. Nothing is required for the baby
• B. Administer VZIG to the mother only
• C. Administer VZIG to the baby at birth
• D. Both VZIG to the mother and baby, and isolate the infant

Answer: (D)

In the case of a mother contracting varicella (commonly known as chickenpox) shortly before delivery, it is crucial to take appropriate measures to reduce the risk of infection to the newborn. When a mother has varicella within a week of childbirth, there is a significant concern for the infant, as the virus can be transmitted during delivery and may lead to serious complications. Administering Varicella-Zoster Immune Globulin (VZIG) to both the mother and the baby is essential. VZIG provides passive immunization to the newborn, helping to protect against the infection that could result from exposure during labor and delivery. This is particularly important because if the mother develops a rash close to the time of delivery, active infection poses a high risk to the infant. Additionally, isolating the infant is a recommended precautionary measure. This is to prevent any potential exposure to the virus in case the mother is still shedding the virus at the time of delivery. Isolation helps to ensure that if the infant does contract the virus, it can be managed appropriately and would also protect other infants in a neonatal unit or nursery setting. In summary, administering VZIG to both the mother and the infant and ensuring the infant's isolation are critical

When it comes to delivering a baby, you might think about the music playlist or what you’ll eat for dinner later. But have you ever considered what happens if a mother contracts varicella, commonly known as chickenpox, just days before labor? It raises more than a few eyebrows and can certainly send shivers down your spine if you’re a midwife or an expectant parent. So, let’s break it down!

First of all—what’s the big deal about varicella during pregnancy? If a mother contracts this highly contagious virus within a week of giving birth, it’s a serious concern. Not just for the mom but for the little one steaming towards the world in what should be an exciting journey. Right out of the gate, if the mother is infected, there’s a heightened risk of transmitting the virus to the newborn during delivery. I mean, that’s not a welcome party, right?

Now, what should be done when the clock is ticking down to delivery? Well, the correct answer is clear and incredibly important: Both the mother and baby need to receive Varicella-Zoster Immune Globulin (VZIG), and isolating the infant is essential. But why all the fuss? Here’s the scoop!

Administering VZIG is like giving your newborn a superhero cape; it’s a form of passive immunization that helps shield them from the varicella virus. Think of it as a protective buffer, particularly vital when there’s a chance the mother might develop a rash close to delivery. Active infections can spell trouble, and we want no part of that when it comes to our new little earthbound passengers.

On top of that, isolation of the infant is a crucial precaution. Just picture it: a world where we can control exposure to a potentially harmful virus. After all, we’re not just protecting one baby; we’re safeguarding likely dozens more in crowded neonatal units or nurseries. By keeping the baby safe and sound away from any lingering virus, we’re essentially creating a fortress against infection.

Long story short? If mom contracts varicella six days prior to her due date, swift action is necessary. Administering VZIG to both the mother and baby ensures that little one has a fighting chance against the potential threats of this virus. And let’s not forget the importance of isolation, allowing us to take all proactive measures that prioritize their health.

Above all else, childbirth is one of life’s most joyous occasions—and it’s all about making sure everyone is healthy and happy. So, when in doubt, it’s best to stay educated and ready to respond promptly. Armed with this knowledge, you'll be more than prepared for this scenario, and wouldn’t that be a relief?