Conditions

Infections and illnesses that matter in gynaecology: what causes them, how they run their course and what they would mean for a pregnancy.

The conditions on this page have one thing in common: in gynaecology they matter not because of how common they are but because of timing. Rubella is harmless for an adult – in the first weeks of pregnancy it can seriously harm the baby. Whooping cough is a nuisance for the mother, life-threatening for a newborn. Hepatitis B is passed on at birth if nobody knows about it. And human papillomavirus is the only cause of cancer for which there is a vaccine.

Before a pregnancy it is therefore worth looking at your vaccination record and, where it tells you nothing, having a blood test: immunity to rubella, measles and chickenpox can be checked and topped up with live vaccines – at least a month before you stop contraception. During pregnancy itself, the vaccination against whooping cough is among those expressly recommended, and testing for hepatitis B is part of the Eltern-Kind-Pass. What to bear in mind about vaccination is explained under Vaccination before and during pregnancy.

HPV is the subject that concerns every woman: almost every woman is infected, almost every infection clears on its own, and the rest is the reason the annual smear exists. Vaccination, test and screening are brought together on the page HPV – human papillomavirus.

Allergies quite often show themselves first in the genital area – as an itch that is not thrush and does not respond to thrush treatment. Which tests exist and which medicines are possible in pregnancy is explained under Allergies and allergy testing.

The articles below describe each condition with cause, course, vaccination and what it would mean for a pregnancy. If you have symptoms, a fever during pregnancy or contact with one of the infections named here: do not wait for the next appointment, call. Make an appointment.

Articles

Allergies and allergy testing

Itching in the genital area that looks like thrush and is not – and the question of which tablet is allowed in …

Diphtheria

An illness nobody sees any more – and one that returned the moment a population lost its protection.

Haemophilus influenzae type b

An illness that has vanished – and one that shows why the vaccination appointments of the first year of life should not …

Hepatitis B

A positive result in the mother remains almost without consequence for the baby – if the right thing happens in the …

HPV – human papillomavirus

Almost everyone is infected, and almost every infection heals by itself.

Measles

The most contagious pathogen there is – and not vaccinable during pregnancy. What has to have happened beforehand.

Meningitis

The most important step against meningitis in a newborn is taken at the gynaecologist: the swab before the birth.

Meningococcal disease

A headache can become an emergency within hours. The early signs are not the ones you would expect.

Mumps

The commonest worry about mumps concerns fertility – and for women it is almost always unfounded. What counts instead.

Pneumococcal disease

When a pneumococcal vaccination becomes an issue for women – and why breathlessness in pregnancy allows a dangerous …

Polio (poliomyelitis)

The only illness in the immunisation schedule close to worldwide eradication – and the one where letting up now would …

Rotavirus (vomiting and diarrhoea)

The first decision about vaccination of all – and it comes six weeks after the birth.

Rubella

Harmless for adults, one of the most dangerous infections for an unborn child in the first weeks.

Tetanus (lockjaw)

The organism lives in the soil and stays there. Which is why no herd immunity protects you here – only your own …

Whooping cough (pertussis)

A stubborn cough for adults, life-threatening for a newborn. Why vaccination is given in pregnancy – and why in every …

Frequently asked questions

I have had contact with rubella or chickenpox and I am pregnant – what now?

Call the same day. Whether you are protected is shown by your vaccination record or a blood test; without protection there are options in the first days after contact that no longer exist later. Waiting is the worst option here.

Which infections are tested for routinely in pregnancy?

The Eltern-Kind-Pass provides for tests of rubella immunity, toxoplasmosis, syphilis, hepatitis B and – after counselling – HIV; towards the end of pregnancy the swab for group B streptococci is usually added. Further tests follow after contact or if symptoms arise.

Can I be vaccinated during pregnancy?

With inactivated vaccines, yes – whooping cough and influenza are even recommended. Live vaccines against measles, mumps, rubella and chickenpox belong before the pregnancy.

How do I protect my newborn from whooping cough?

By being vaccinated yourself during pregnancy, ideally between the 27th and 36th week: the antibodies pass to the baby and protect it until it can be vaccinated itself. The closest caregivers should also bring their own protection up to date.