Patient's question:
Symptom Description: Jaundice in the legs after delivery of gestational cholestasis.History of Treatment and Effect: Have been taking ursodeoxycholic acid capsules.
What kind of help is desired: How to treat it, is it curable?
Doctor's answer:
The harm of cytomegalovirus to the fetus is very significant, with remarkable rates of teratogenesis, mortality, and sequelae. A positive IgM result for cytomegalovirus can be classified as either primary infection or recurrent infection. The teratogenic rate of primary infection is relatively high, reaching 30~40%. If a primary cytomegalovirus infection occurs during the early stages of pregnancy (within the first three months), the impact on the fetus is more severe. In contrast, the harm of recurrent infection is much smaller, with a very minimal impact on the fetus in the early stages of pregnancy, with a probability of less than 1%. Among these, if you do not exhibit clinical symptoms of primary infection, the likelihood of recurrent infection is higher, and further observation is recommended during the subsequent process. Ultrasound examination should be conducted to check for any abnormalities. At 20 weeks, it is recommended to perform cord blood testing or amniocentesis, as these are highly accurate methods for detecting teratogenesis.