Does a CMV pregnancy require monitoring in a high risk pregnancy department?
A CMV pregnancy is generally not considered a high risk pregnancy.
Leading hospitals in Israel have designated clinics for the monitoring of CMV pregnancies.
Along with appropriate follow-up on the infection, the gynecologist needs not necessarily be an expert on the CMV virus, but needs to be a professional in his own subject matter and issue all the required references according to the instructions of the CMV expert.
How significant is the choice of the expert infectious diseases doctor who will perform the monitoring during the pregnancy?
The CMV virus requires specific knowledge. Since this is the most common congenital virus in Israel and worldwide, it is widely investigated, and the frequency of the discoveries – followed by changes to the monitoring and treatment protocol – are of significance.
In addition, it is important that the expert will be accessible and approachable for questions and consultations on issues that arise throughout the pregnancy.
Therefore, it is important to seek an infectious diseases doctor who is an expert on this, and not settle for a general infectious diseases doctor.
The monitoring can also be done at the CMV clinics at the hospitals, which consist of gynecologists specializing in CMV, some of also combine a pediatric infectious diseases doctor specializing in CMV.
What is the implication of discovering a significant finding in the targeted scans?
In a small portion of the CMV pregnancies, the targeted scans will detect findings that will support the suspicion for serious fetal injury.
In most cases, the experts will raise the possibility of approaching the Termination of Pregnancy National Committee and the couple may make the decision which is right for them.
The National Committee, or as it is officially called, the Viability Stage Termination of Pregnancy Committee, consists of an expert OBGYN, another expert and a social worker, as well as two other consultants – a neonatology expert and a geneticist.
The National Committees reside in several medical centers. If you are interested in talking with a woman who underwent the procedure, please contact via email.
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