Parenting: Pregnancy

You also have more tests in the near future, with the first being a blood test performed during your first prenatal visit. This blood test will determine your blood type and Rh factor (positive or negative). It will also check for the presence of any sexually transmitted diseases such as syphilis, gonorrhea and chlamydia. You will be screened for anemia, hepatitis and immunity to rubella.

Rubella (German measles) is a mild childhood illness that brings with it a rash, low-grade fever and sore throat. However, the disease is a serious threat to an unborn fetus. According to the U.S. Department of Health and Human Services Centers for Disease Control and Prevention, pregnant women who contract rubella may lose their babies. Birth defects such as deafness, blindness, heart disease and brain damage may occur, in addition to other serious problems.

Most women are immune to rubella by either a previous series of vaccinations or by having contracted the disease as a child. Some pregnant women are not immune to rubella.

"The traditional rubella vaccination is not recommended during pregnancy," says James M. Proulx, attending staff physician of the department of obstetrics and gynecology at William W. Backus Hospital in Norwich, Connecticut. "Ideally, I offer all couples planning pregnancy preconceptual counseling, an office visit devoted to addressing any health concerns which might impact her upcoming pregnancy. This would include screening for rubella and vaccinating before pregnancy begins. In lieu of this, most women are vaccinated immediately postpartum," says Dr. Proulx.

A pregnant woman who is not immune to rubella should avoid contact with anyone who may have the disease or who is not immune to it, as another person may have the disease without the sign of any symptoms. According to the Texas Department of Health, up to 90% of babies born to women who contracted rubella during the first trimester of pregnancy may suffer from birth defects due to congenital rubella syndrome (CRS).

Within one to two business days you and your doctor should have the results of your prenatal blood test. It is comforting to be assured that your body is ready to nourish your growing fetus, or that any anticipated health concerns have been revealed and can be treated.

There are no risks associated with the prenatal blood test and the only discomfort is the quick poke of a needle used to withdraw blood.

Herbert and Sheri Wallace reside in Arizona and are anxiously awaiting the arrival of their daughter, Morgan Paige. A preconception blood screening showed that Sheri is not immune to rubella. However, Sheri was immunized against the disease as a child and was very surprised at her test result. She has been living with the assumption that she was protected from contracting rubella.

A preconception rubella vaccination didn't take. The vaccination was repeated, Sheri was re-tested a second time and her blood screen still did not show an immunity to rubella. Evidently, Sheri is one of the few people who can not build up an immunity to rubella despite the clinically proven vaccine. To protect herself and Morgan against the disease, Sheri avoids the crowded hours at the mall and grocery store to decrease her chances of exposure and is currently enjoying the last trimester of a healthy pregnancy.