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There are many ways you can help children and their families get the care they need.
What causes these in utero TORCH infections?
A baby contracts a TORCH infection in the uterus when the mother catches the infectious disease and carries it through her bloodstream to the baby.
The developing fetus is especially vulnerable to illness because its immune system is not yet strong enough to permanently fight off infection.
Since a baby in utero cannot completely get rid of an infection, the disease remains in the body, and can prevent the child's vulnerable organs from developing correctly.
What is syphilis?
Syphilis is a sexually transmitted disease caused by the bacteria Treponema pallidum that can result in serious congenital conditions if contracted during prenatal development.
There are three main stages of syphilis, which progressively become more serious:
Newborns with syphilis are considered to be in the secondary stage of the disease, but move to the final, and most serious period, of the disease by their second birthday.
What is the likelihood that my baby will have congenital syphilis?
Syphilis is most likely passed from a mother to her child if she is in the first or second stage of the disease, rather than the latent phase. If the mother is not treated, syphilis infects the baby more than 75 percent of the time.
Why is congenital syphilis a concern?
Almost half of children infected before birth do not make it to term or die soon afterwards. The majority of children born with syphilis do not show any physical symptoms of the disease until weeks or months after birth. If left untreated, syphilis becomes a severe and chronic illness that affects the neurological and cardiovascular systems.
What are the symptoms of congenital syphilis?
Symptoms of congenital syphilis differ between newborns and older infants because the disease progresses from its secondary stage to its final phase:
Symptoms of congenital syphilis may resemble other skin conditions or medical problems. Always consult your child's physician for a diagnosis.
Varicella-zoster virus (VZV)
What is congenital varicella syndrome?
Congenital Varicella Syndrome is caused by the same virus (varicella) as the chicken pox, a common childhood disease.
When a fetus contracts varicella, the disease is known as Congenital varicella syndrome, and the resulting health conditions may be severe.
What causes varicella syndrome?
A woman who gets varicella for the first time (chicken pox) during her pregnancy can pass it on to her unborn child, causing the syndrome.
Varicella is highly contagious -- there is a 90 percent chance that an infected person will spread the disease to a household member who has not had chicken pox before.
For adults and children, varicella is spread through direct skin contact with the chicken pox rash or through the droplets in the air.
What is the likelihood that my baby will get congenital varicella syndrome?
The risk of a mom passing the varicella virus onto her baby is extremely low. Only a primary varicella infection can cause the condition, and most adults and children have already had chicken pox or have been vaccinated against it.
Even if a mother does contract chicken pox while pregnant, there is only a 2 percent chance that the baby will develop congenital varicella syndrome.
Why is congenital varicella syndrome a concern?
Babies born with Congenital Varicella Syndrome may have birth defects that affect the following parts of their bodies:
Congenital fifth disease (Parvovirus B19)
What is congenital fifth disease?
Fifth disease is a mild illness, caused by parvovirus B19, and is spread through droplets in the air.
Why is fifth disease a concern if I am pregnant?
Complications can occur during pregnancy if a fetus is exposed to fifth disease. The disease affects the baby's ability to produce red blood cells and can lead to:
Fifth disease has not been cited as a cause for other birth defects.
What is the likelihood my baby will get fifth disease before birth?
Several factors influence the likelihood of congenital fifth disease, including:
Overall, less than 5 percent of pregnant women infected with parvovirus B19 transmit fifth disease to their baby.
HIV (Human immunodeficiency virus)
What is HIV?
HIV is the virus that is responsible for causing acquired immune deficiency syndrome (AIDS).
Between 1992 and 1997, the number of infants who became HIV positive when born to an infected mother decreased by 50 percent. This reduction reflects the use of new anti-retroviral medications that are given to the mother before her baby is born. Because transmission often occurs during delivery, your doctor may recommend a cesarean section if you are infected with HIV.
The virus has also been detected in breast milk.
What are the symptoms of HIV?
At birth, infants born to an HIV-infected mother may test negative for the virus and have no symptoms. This does not mean that the infant does not have the virus.
How can congenital syphilis be prevented?
By screening women early in their pregnancy, syphilis can be detected before it harms the mother or child.
Regular screenings during pregnancy can help ensure the baby's health.
How can congenital varicella syndrome be prevented?
It is not a concern if the mother has already contracted chicken pox.
However, if you are pregnant and have not had chicken pox before, the following steps can help prevent congenital varicella syndrome:
How can fifth disease be prevented?
Frequent hand washing is the most common way to prevent the spread of viruses. Since fifth disease is contagious before the symptoms develop, avoiding people with the disease will not prevent infection.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”