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O&G CasesAntenatal care — perinatal infections

O&G Cases · Antenatal care — perinatal infections

Varicella exposure in pregnancy — communication and management station

Communication and management station: varicella exposure in pregnancy with unknown immune status. Tests the serology-led approach, the post-exposure prophylaxis decision (VZIG or oral aciclovir within the window), the congenital varicella syndrome risk counselling, and the communication with the woman. Includes assessor timeline, marking domains, assessor key and fail criteria.

communication4 min readVerification in progress

Target exams

FRANZCOGMRCOGABOG
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Target exams

FRANZCOGMRCOGABOG
Prompt
You are the registrar in the antenatal day assessment unit. A 26-year-old G2P1 woman at 18 weeks gestation phones in distress. Her four-year-old developed chickenpox yesterday, and she has no memory of ever having chickenpox herself. She does not know her varicella immune status. The assessor runs the clock and feeds you laboratory results and the woman's responses.

Station brief

Format. Communication and management station, approximately 12 minutes. You are the registrar in the antenatal day assessment unit. A midwife and the consultant are available. The assessor runs the clock and feeds you laboratory results and the woman's responses. [1]

Candidate instruction. Lead the assessment and counselling of a pregnant woman with a household varicella exposure and unknown immune status. Verbalise your clinical reasoning, your serology-led approach, your post-exposure prophylaxis decision with the agent and timing, and your communication with the woman about the fetal risk. [1][2]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship library.

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References3ShowHide
  1. [1]Enders G, Miller E, Cradock-Watson J, Bolley I, Ridehalgh M Consequences of varicella and herpes zoster in pregnancy: prospective study of 1739 cases Lancet, 1994.PMID 7802767
  2. [2]Swamy GK, Dotters-Katz SK Safety and varicella outcomes after varicella zoster immune globulin administration in pregnancy Am J Obstet Gynecol, 2019.PMID 31279845
  3. [3]Sile B, Brown KE, Gower C, et al. Effectiveness of oral aciclovir in preventing maternal chickenpox: A comparison with VZIG J Infect, 2022.PMID 35659543
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