Fifth disease: infection, symptoms and risks in pregnancy

Fifth disease is a relatively harmless childhood disease with which children usually infect between 5 and 15 years. If an infection occurs during pregnancy, however, put at risk the unborn child. Here you can find everything about infection, symptoms, risks, treatment options and how women can protect themselves during pregnancy from the virus. Especially important for women who are expecting their second child and their large comes in a daycare center. not panic - there goes the virus around, there is caution.

What exactly are fifth disease?

Hands with fifth diseasePublic Health Image Library Typical rash at Fifth disease

They include not only measles, chickenpox, scarlet and rubella to the teething, which are usually associated with a characteristic rash and can affect adults as well. Trigger is the parvovirus B19, medical, they are also called erythema infectiosum. Epidemics occur in day care centers and schools mainly in winter and spring.

What symptoms are typical?

The disease most widely located. Especially in children often goes unnoticed or like a light flu infection with malaise and fever. Often seen as a most striking symptom of a butterfly-shaped, Stationary redness on the cheeks and nose. Therefore, fifth disease are also in English "slapped face desease" called - slap face disease. After one or two days a conspicuous rash, especially on arms and legs produced. The red, itchy and raised partly stains transform their shape over time in pale red garlands - hence the name fifth disease. In some cases in children and absolutely no rash can be seen. Or it shows only the rash, but none of the other symptoms. Then it may happen that the rash is mistaken for an allergic reaction. Overall, the skin after all-nighter infection often for weeks country dry and flaky and needs a lot of care.

Rubella, or fifth disease - how to recognize the difference?

Medically speaking, the two diseases have nothing in each other than the name. They are caused by different viruses. Even the rash looks different: In rubella are small, pink or red spots - first behind the ears, and later all over. The typical fifth disease garlands form is missing. Go here for childhood illness rubella.

As you put on with fifth disease?

Like many viruses, parvovirus B19 is transmitted via Tröpfeninfektion, ie by coughing and sneezing, shaking hands, touching door handles and other shared objects. Here tips to help you this defuse typical routes of infection can. Fifth disease epidemics usually occur where many children are close together, so for example in kindergartens and schools.

How long have fifth disease contagious?

The children's disease is a contagious until three weeks before the appearance of the rash. Tricky: The risk of infection is highest in the days before the rash appears - so if no one has noticed anything of the disease. Once the rash occurs, the risk of infection is usually over.

How long is the incubation period?

From the time of infection until the outbreak of fifth disease about one to three weeks may pass.

Is there an identifiable stage in fifth disease?

No, a specific therapy does not exist. Join fever, muscle and joint pain on bed rest makes sense.

Can I get vaccinated against fifth disease?

No, vaccination against fifth disease is not yet possible. Important: The rubella vaccination does not protect against fifth disease. Only a previously resolved infection makes new infection unlikely. Women who work in day care centers or schools should be checked before a pregnancy if they give antibodies the virus in their blood (see below).

I'm after a slapped cheek disease permanently immune?

Most people are permanently immune to fifth disease a disease. In some people, but not enough antibodies are in the blood even after a fifth disease infection.

How do I know as a pregnant woman, if I'm immune to fifth disease?

About half of all pregnant women are immune to fifth disease, often without knowing it. For if the infection in childhood is slightly, one can confuse or completely overlook them with a common cold. Who wants to ensure or has much to do in everyday life with children can best test his blood on fifth disease antibodies. Using an antibody screening tests, the doctor can determine if an antibody protection is available. However, the fifth disease test is not part of standard prenatal care, but is a individual health service.

Why are fifth disease dangerous during pregnancy?

Unlike rubella does not cause an infection with fifth disease in pregnancy the unborn Although malformations. In early pregnancy but fifth disease can have a miscarriage trigger. an expectant mother is in the later weeks of pregnancy on, there is a risk that the virus can cross the blood formation of the unborn baby harms dangerous. In eight to ten percent of cases, the baby responds in the belly out with water retention, which can be life-threatening.

What to do if rampant in the day care or school of my child's larger rings rubella virus?

If you sure know a test that you have antibodies in the blood, however, there is no risk of infection. You has no antibodies, you should speak and let the big kid any home until the disease wave is over with your gynecologist. Because it can carry the virus in and infect others, without showing typical symptoms themselves.


And if I actually caught it while pregnant with fifth disease?

Even if a woman during pregnancy infects with fifth disease, does not mean that the unborn baby with the disease is infected. Fortunately, this is only the case with every fifth about the unborn. Confirmed the blood test infection with fifth disease virus, the doctor checked regularly, usually week after week ultrasound whether the fetus is also ill. A blood test in children is possible from the 17th week. For this, the umbilical cord punctured. Shows the fetus actually water retention, can be helped with therapy to him today, when the baby blood transfusions, usually via the umbilical cord gets.