Abstract
Precise information on the frequency of occurrence of infection in pregnancy is not available. Well-defined clinical diseases are easily and accurately documented, whereas infections causing nonspecific symptoms and asymptomatic disease are less likely to be investigated and diagnosed. In a prospective study of 30 000 pregnancies, Sever and White (1968) showed that 5.2% were complicated by at least one clinically recognisable illness. Influenza or influenza-like illness was most frequently identified, and specific infections such as mumps, rubella, varicella and measles occurred at rates between 1 and 15 per 10 000 pregnancies. Serological investigations showed these figures to be an underestimate produced by a combination of incorrect clinical diagnoses and asymptomatic infection. Estimates of the frequency of bacterial infection of the fetus and gestation sac are particularly difficult. Symptoms are often non-specific and, in addition, there may be problems related both to the acquisition of appropriate samples for culture and to the interpretation of laboratory investigations. Viral infection in pregnancy, although less common, may be more amenable to study.
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© 1987 Springer-Verlag Berlin Heidelberg
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Holzel, H. (1987). Infection in Pregnancy and the Neonatal Period. In: Keeling, J.W. (eds) Fetal and Neonatal Pathology. Springer, London. https://doi.org/10.1007/978-1-4471-3523-4_14
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