One vaccination - zero risk
Pre-pregnancy testing is mandatory for every woman: those who are seronegative are vaccinated (after vaccination, a month of contraception) and the issue is resolved forever. IgM+ during pregnancy - emergency situation at expert level: avidity, repeated tests, consultation. Planning decides everything in advance.
When is it appointed?
- pregnancy planning - TORCH status;
- pregnancy - screening and clarification of doubtful results;
- decision to vaccinate against rubella;
- lymphadenopathy, prolonged low-grade fever - etiology;
- clarification of the stage of infection (avidity).
Reading antibodies correctly
IgM is a marker of a fresh infection (but often “phonitis” is false), IgG is immune memory and protection. For pregnancy, the ideal profile is “IgG+, IgM−” (there is immunity, there is no risk); “IgG−, IgM−” means vulnerability (rubella - vaccination BEFORE conception!); “IgM+” requires clarification by IgG avidity: high avidity = long-standing infection, no danger. A competent interpretation saves you from unnecessary fears and interventions - the clinic doctor will analyze your profile.
