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Pregnancy Bliss | Reproductive Health Hub

Exposure to German measles (Rubella) in pregnancy

Question: I was exposed to my husband having a German Measles during my two months of pregnancy. It's my seventh months now the doctor advised me to have a pelvic uterus congenital disease test to determine if the baby is affected. My question is do I have to undergo that test? thank you. I hope you could help me regarding this matter. MSP (Philippines)

Answer: I am actually not sure what test your doctor is talking about. As a matter of fact, there are different scenarios to consider in your case. Your husband may have had German measles (Rubella) during your early pregnancy phase but that does not necessarily mean it was passed onto you. Most people (over 90%) will have acquired immunity to this infection by the time they are in their late teens, either through vaccination or acquiring the infection (usually mild and unrecognised). Chances are, therefore, that you are already immune and your husband’s infection posed no risk to you. There is also the possibility that the infection was not German measles, unless of course a blood test was done. Suppose we assume this was German measles and you were infected. There is indeed a significant possibility of the baby being affected if the mother acquires the infection in early pregnancy. The features of congenital rubella syndrome are discussed in the relevant section. However, there is really no way of finding out whether the baby has been affected by the infection unless you take a blood sample from the umbilical cord through a procedure called cordocentesis. There is really no justification of taking such a radical measure in a case like yours as it carries considerable risk. I am not sure whether the doctor is talking about this but I would consider that unjustifiable. As I said earlier, the purported concern may actually be misplaced.

Conceiving after Depo-Provera

Question: Please can you tell me, I've been on Depo-provera for 5 years and stopped last year, my period came back in December 2011 and now i want to have a baby. We live in different cities with my husband and we see each other every weekend. What are my chances of falling pregnant? What should i start doing now that i want to get pregnant? JM (Italy)

Answer: The contraceptive effect of Depo-Provera has now disappeared and will have no effect on your ability to conceive. However, what may significantly influence your chances is the frequency you have an opportunity to actually try for a baby. The fact that you and your husband have this opportunity only on weekends creates a challenge. You may very well be aware that, in fact, in the full month, there is only a small window, no more than 5-7 days, in which you can conceive. Your attempt to do so has got to coincide with this window,otherwise you may find that you are unsuccessful in your quest for a long time. It is of-course possible that one of those weekends coincides with your fertile days which will improve your chances considerably. However, by waiting for such a coincidence you are really lengthening the odds for success. You can check out the menstrual cycle illustration as shown on the previous page to identify your fertile days and see if you can find a way of scheduling your being together to coincide with that. My best wishes.

Pernicious anaemia and pregnancy

Question: Am a pernicious anaemia patient. My husband and i suggest we should get a baby. How safe will the pregnancy be? I.N. (Kuwait)

Answer: I take it your pernicious anaemia is adequately corrected. This is important because, if you are chronically deficient of Vitamin B12, you may find it very difficult to conceive. Even if you succeed, if you are deficient of B12, your chances of having a miscarriage are significantly increased.

If you get your regular Vitamin B12 injections and everything else is OK, there is no reason why you shouldn’t try and hopefully succeed. It is important to be aware that you will need to continue with the B12 injections during your pregnancy and it is critically important that you continue having the injections and ensure there is no deficiency. The baby’s neural development requires adequate supplies of Vitamin B12.

Diagnosed with polycystic ovaries (PCOS)

Question: now my age 18.for the past 2 months i don have menstrual cycle i have consulted a doctor she gave the scanning report in that i found polycystic ovaries, what it mean? what s the reason 4 it 2 occur? Will i get normal soon? AS (India)

Answer: Polycystic ovarian syndrome (PCOS) is a fairly common condition which affects up to a quarter of all women. Erratic periods is one of the commonest features of this condition. It is something that you have and will not go away. However, problems associated with it are all manageable including getting your periods regular. You will find detailed answers to all your questions and more in the section dedicated exclusively to this condition. You can reach it by clicking here:

Fibroid in pregnancy

Question:  My wife is pregnant by seven weeks. her ultrasound suggests fibroid of size 16X12 mm in womb. is three any danger to her or baby due to this? N. (India)

Answer: A fibroid measuring 16x12 mm is really small and not at all significant. You have nothing to worry about.

Excessive amniotic fluid

Question:  I'm 27 weeks and i have too much fluid. Is it going to affect the baby, what will happen to the water? Am i going to have full term? C. (UK)

Answer: Excessive amniotic fluid, also known by the medical term ‘polyhydramnios’ does not directly affect the baby. However, the most important thing is to see if there is an underlying cause. I take it you have or are in the process of having tests to rule out viral infections and gestational diabetes which are the known causes of excessive amniotic fluid. Many cases of excessive fluid have no identifiable cause and the baby is fine. Risks associated with excessive fluid include preterm delivery and increased risk of caesarean section because of the tendency of the baby to lie in abnormal positions. This is because of increased room in the womb. Excessive amniotic fluid is discussed in more detail here: