Rubella

Rubella AKA German Measles

  • Caused by rubella virus
  • Often mild and people don’t realise they have it
  • Rash which starts on face then spreads to rest of body can occur 2 weeks after exposure and lasts 3 days
  • Fever
  • Sore throat
  • Lymphadenopathy (may last a few weeks)
  • Joint pain

Rubella in Prgnancy

Rubella in pregnancy may result in foetal loss or congenital rubella Syndrome

Congenital rubella Syndrome presents with one or more of the following:

  • Cataracts and other eye defects
  • Cardiac abnormalities
  • Deafness
  • Microencephaly
  • Intra uterine growth retardation
  • Inflammatory lesions in the brain, lung, bone marrow, liver

Infection in first 8-10 weeks of pregnancy: damage to 90% of infants, with multiple defects being common.

11-16 weeks gestation risk of defects reduces to 10-20%

>16 weeks fetal damage is rare

>20 weeks only ever deafness