What are the risks of mumps infection in early pregnancy for pregnant women?
香織 直子
香織 直子
Immunologist studying viral immunity responses.
Hi sister, seeing your question, you must be very anxious right now. Don't worry too much, let's take this step by step. The first trimester (first three months) is indeed a critical period for the baby's development, and viral infections require special caution.
If you get mumps in early pregnancy, there are several main risks:
1. Risks to the baby
- Increased risk of miscarriage: This is the primary risk of mumps infection in early pregnancy. Viral infection can cause high fever, and persistent high fever in the first trimester is relatively dangerous for the embryo, potentially affecting its normal development or even leading to miscarriage.
- Possible impact on fetal development: Regarding whether the mumps virus directly causes fetal malformations, there isn't a clear medical conclusion like there is for the rubella virus. However, the virus itself and the high fever it causes can both have adverse effects on differentiating organs. So, while not absolute, this risk exists and requires close monitoring through subsequent prenatal check-ups.
2. Risks to the pregnant woman herself
- Potentially more severe symptoms: Mumps in adults is usually more uncomfortable than in children, with more pronounced symptoms like high fever, headache, and fatigue.
- Risk of complications: Mumps can lead to some complications. Although uncommon, it's important to be aware of them. For example:
- Oophoritis: The virus may attack the ovaries, causing lower abdominal pain. This can usually be cured, but in extremely rare severe cases, it might affect future fertility.
- Pancreatitis: Characterized by severe upper abdominal pain, nausea, and vomiting.
- Meningitis: Characterized by severe headache, vomiting, and stiff neck.
What to do if you suspect you are infected?
- See a doctor immediately! Don't self-diagnose or try to tough it out. Go to the hospital for a clear diagnosis, and tell the doctor you are pregnant and your exact gestational week.
- Follow medical advice for treatment: The doctor will assess your situation and, after weighing the pros and cons, use medications that are relatively safe for both you and the fetus to help control your symptoms, such as physical cooling or safe fever reducers. Absolutely do not take any medication on your own.
- Get plenty of rest and drink lots of water: This is the best way to fight the virus and help your body recover quickly.
- Intensify subsequent prenatal check-ups: After diagnosis, be sure to communicate with your obstetrician. The doctor may recommend adding some additional tests to your subsequent prenatal check-ups, such as a more detailed ultrasound (anomaly scan), to closely monitor the baby's development.
To summarize:
The biggest risk of mumps infection in early pregnancy is the potential for miscarriage. While other risks exist, it doesn't mean they will definitely occur. The most important step is to seek medical attention immediately and let the doctor help you. Relax, actively cooperate with treatment and examinations, and most mothers and babies ultimately turn out fine. You can do it!