- • The risks of transplacental transmission and fetal damage are pathogen- and gestation-specific.
- • Amniocentesis is the mainstay of diagnosis of fetal infection.
- • Ultrasound surveillance is the primary tool for the detection of an affected fetus.
- • Therapeutic options are restricted to intrauterine blood transfusion in parvovirus infection and maternal antibiotic therapy in toxoplasmosis infection.
- • To gain an overview of prenatal diagnosis of the commonest congenital infections.
- • To appreciate that optimal care involves a multidisciplinary approach.
- • Detection of virus alone is not synonymous with fetal damage; a negative result does not completely exclude the possibility of fetal infection.
- • Presence or absence of sonographic markers of fetal infection may not accurately predict long-term outcome.
Please cite this article as: To M, Kidd M, Maxwell D. Prenatal diagnosis and management of fetal infections. The Obstetrician & Gynaecologist 2009;11:108–116.