Rubeola during pregnancy

Article Abstract:

Since the late 1980s, many outbreaks of measles have occurred in Los Angeles County and elsewhere. Usually, there is a 10-day incubation period from the time of exposure to the time that fever develops. The first symptoms of illness (fever, cough, sneezing, runny nose) last for one or two days and are followed by a skin rash. The virus can be spread in the air, and infected individuals remain contagious until two to four days after the rash appears. Pneumonia is common in patients with measles. Pneumonia occurring during pregnancy has been reported to increase the risk of premature labor and birth, while measles has been reported to cause spontaneous abortion and premature birth. In a study conducted between 1951 and 1962, the outcomes of 327 pregnancies complicated by measles were reported. Fifty percent of the women who developed measles during the first two months of pregnancy had spontaneous abortions. When measles occurred during the second trimester of pregnancy the spontaneous abortion rate decreased to 4 percent. Several studies have suggested that measles does not increase the risk of birth defects. The cases are reported of three women who developed measles and pneumonia during pregnancy. Two of the women became ill during the second trimester of pregnancy. One gave birth to a 4.1-pound baby at week 35, and the other pregnancy resulted in a stillbirth. The third woman became ill during the third trimester and gave birth to a healthy 7.5-pound baby. Adults who are exposed to measles for the first time should be vaccinated within 72 hours, but this does not apply to women who are pregnant. The authors caution that women who are treated with a live virus vaccine should wait three months before becoming pregnant. (Consumer Summary produced by Reliance Medical Information, Inc.)

Causes of, Complications and side effects, Development and progression, Measles, Pregnancy, Premature labor, Miscarriage, Rubella, Rubella in pregnancy

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Aloe vera dermal wound gel is associated with a delay in wound healing

Article Abstract:

Poor wound healing and wound infection are risks following any surgery. Such wounds require constant attention until healing occurs. Meanwhile, they can cause the patient both physical and mental pain. Cesarean deliveries are frequently performed in this country. Wound complications from cesarean section can interfere with the mother and child bonding process, thus quick healing of the wound is very important. Aloe vera has been promoted as an enhancer of wound healing. This study examined whether a gel containing aloe vera would hasten wound healing in women who had cesarean sections or other gynecologic surgery. Fifty-seven patients were randomly assigned to either an aloe vera gel wound treatment group or a standard wound treatment group. The wounds were examined regularly until healed. Results showed that 13 members of the aloe group and 8 of the standard treatment group completed the study. The average time for wound healing was 83 days for the aloe group and 53 days for the standard group. When the groups were divided by wound type, specifically a vertical abdominal incision, women treated with aloe required an average of 84 days to heal and those with the standard treatment required an average of 47 days to heal. No adverse effects of treatment were seen in either group. These results indicate that aloe vera has no beneficial effect on wound healing and, in fact, significantly lengthened healing time in this study. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Usage, Evaluation, Injuries, Surgical wound infections, Pregnant women, Aloe barbadensis, Aloe vera

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