Rashes in pregnancy - HPA guidelines, information and advice
These pages aim to provide an easily accessible resource for Health Professionals who need guidance, information or advice on the management of women who become infected with, or are exposed to, a communicable disease during pregnancy.
Guidance on the management of rash illness and the exposure to rash illness in pregnancy.
This section is based on a Report of a Public Health Laboratory Services (now the Health Protection Agency) Working Group published in November 2000. Membership of the Working Group included epidemiologists, public health specialists, laboratory virologists, general practitioners, infectious disease specialists, an obstetrician and a midwife. The intact guidelines can be accessed via Guidance on the management of, and exposure to, rash illness in pregnancy.
This guidance aims to help decision making in the investigation and management of pregnant women who have 'a rash compatible with a systemic viral illness', or who have had contact with a person with such an illness. It addresses particularly rubella, parvovirus B19, and varicella-zoster virus infection, but considers other infective causes of rash illness in the UK. It gives the magnitude and degrees of risk to the fetus in terms of outcomes for the gestation at which maternal infection occurs. This guidance aims to help decision-making. It has no legal status: it will be updated as and when new evidence becomes available.
Publications
- The Green Book
- Guidance on the management of, and exposure to, rash illness in pregnancy - CDPH 2002
Contacts
- Algorithm 1: Pregnant patient with rash illness
Added/updated: 11 December 2008 - Algorithm 2a: Pregnant patient in contact with rash illness
Added/updated: 11 December 2008 - Algorithm 2b: Investigation for rubella of pregnant woman exposed to rash illness
Added/updated: 11 December 2008 - Algorithm 2c: Investigation for parvovirus B19 of pregnant woman exposed to rash illness
Added/updated: 11 December 2008 - Algorithm 3: Management of confirmed parvovirus B19 infection in pregnancy
Added/updated: 11 December 2008 - Referenced publications
Pregnancy rashes and infections references.
Added/updated: 22 December 2008 - Table 1: Characteristics of rubella, parvovirus B19 and varicella-zoster virus infections in the UK
Added/updated: 11 December 2008
Topics Menu
- Executive Summary
- Background
- The risk of different rash illnesses in pregnancy
- Laboratory Investigations
- Antibody Screening
- Investigation of a pregnant patient with a non-vesicular rash illness
- The pregnant patient in contact with a non-vesicular rash illness
- Management of proven infection (with rubella, parvovirus, measles, enterovirus, infectious mononucleosis)
- Management of vesicular rash (varicella/herpes zoster) in pregnancy
- Management of vesicular rash (varicella/herpes-zoster) exposure in pregnancy
- Management of neonates exposed to vesicular (varicella/herpes zoster)
- The "continuously exposed" female in the first 20 weeks of pregnancy (e.g. school teachers)
- Information that should be provided to a pregnant woman
