Possible risk factors for vertical transmission of Chagas' disease Possíveis fatores de risco na transmissão vertical da doença de Chagas

The author emphasizes the importance of the congenital transmission of Chagas' disease and discusses the possible risk factors for transmission such as age, origin, obstetrical history and maternal form of disease. Exacerbation of infection during pregnancy is also considered as a possible risk...

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Bibliographic Details
Published in:Revista do Instituto de Medicina Tropical de São Paulo
Main Author: Achiléa L. Bittencourt
Format: Article in Journal/Newspaper
Language:English
Published: Universidade de São Paulo (USP) 1992
Subjects:
Online Access:https://doi.org/10.1590/S0036-46651992000500006
https://doaj.org/article/f5127bf1a6c044d2a4ea1cea6ed51cbc
Description
Summary:The author emphasizes the importance of the congenital transmission of Chagas' disease and discusses the possible risk factors for transmission such as age, origin, obstetrical history and maternal form of disease. Exacerbation of infection during pregnancy is also considered as a possible risk factor for transmission. Besides, a relationship between the frequency of transmission and gestational age is presented. Concerning breast-feeding, the risk of transmission is directly related to the acute phase of maternal disease and bleeding nipples. The deleterious effects of chagasic infection on the fetus and newborn are also considered. A autora enfatiza a importância da transmissão congênita da doença de Chagas e analisa os possíveis fatores de risco tais como idade, procedência, história obstétrica e forma da doença materna. Considera a exacerbação da infecção na gestação como possível fator de risco e relaciona a freqüência de transmissão com a idade gestacional. Os riscos na transmissão pela amamentação são relacionados diretamente com a fase aguda da doença materna e, na fase crônica com o sangramento mamilar. São também abordados os efeitos lesivos da infeção chagásica ao concepto.