A 22 weeks pregnant lady having exposure to rubella; what will be the management:
Rubella is one of the most complete teratogens and sequelae of fetal infection are worst during organogenesis (1st Trimester), Pregnant women with rubella infection and a rash in first 1 weeks leads to fetal congenital infection in up to 90% cases Defects are rare after 20 weeks Rubella vaccination should be avoided 1 month before or during pregnancy bcoz the vaccine contains attenuated live virus.
MMR vaccine should be given instantly
MMR vaccine should be given in 3rd trimester
Continue the pregnancy
MMR vaccine should be given during labor
Medical Illness Complicating Pregnancy