Complications of chickenpox during pregnancy

Provided by: Healthwise
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Pregnant women who have chickenpox are at risk of complications. The type of complications depend on when the infection developed during pregnancy.

  • Pregnant women who have chickenpox during the first half of pregnancy may go into labor early (premature labor) or have a miscarriage.
  • Pregnant women who have chickenpox in the last part of pregnancy are more likely to develop varicella pneumonia. Even a healthy pregnant woman is at risk of dying if she develops varicella pneumonia.
  • About 2% to 3% of fetuses whose mothers have chickenpox during the first 20 weeks of pregnancy will also develop chickenpox.1 This is called congenital varicella and can cause:
    • Birth defects. Birth defects can include one limb (usually a leg) smaller than the other, scars on the limbs, or eye problems such as cloudy lenses.
    • Low birth weight (weigh less than expected at birth).
    • Seizures. The baby can have seizures after birth.
    • Mental retardation.
    • Shingles. Fetuses who have chickenpox will not have chickenpox again. However, they can still have shingles, even as babies or young children.
    • Death. About 50% of those fetuses who develop congenital varicella die.1
  • Newborn babies are likely to develop chickenpox within 5 to 10 days after birth when the mother had the illness a few days before or during delivery. These babies are at greater risk of complications from chickenpox.

References

Citations

  1. Smith WJ, et al. (1998). Prevention of chickenpox in reproductive-age women: Cost-effectiveness of routine prenatal screening with postpartum vaccination of susceptibles. Obstetrics and Gynecology, 92(4, part 1): 535–545.

Credits

Author Amy Fackler, MA
Author Debby Golonka, MPH
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer Michael J. Sexton, MD
- Pediatrics
Specialist Medical Reviewer Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC
- Pediatrics
Last Updated June 13, 2006
Author:Amy Fackler, MA
Debby Golonka, MPH
Last Updated: 06/13/2006

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