Navigate Up

Women's Center - A-Z Index

#
Y

Print This Page

Congenital rubella

Congenital rubella is a condition that occurs in an infant whose mother is infected with the virus that causes German measles.

Causes

Congenital rubella occurs when the rubella virus in the mother affects the developing baby at a critical time, in the first 3 months of pregnancy. After the fourth month, the mother's rubella infection is less likely to harm the developing baby.

The number of babies born with congenital rubella has decreased dramatically since the introduction of the rubella vaccine.

Pregnant women who are not vaccinated for rubella and who have not had the disease in the past risk infecting themself and their unborn baby.

Symptoms

Symptoms in the infant may include:

  • Cloudy corneas or white appearance to pupil
  • Deafness
  • Developmental delay
  • Excessive sleepiness
  • Irritability
  • Low birth weight
  • Intellectual disability
  • Seizures
  • Small head size
  • Skin rash at birth

Exams and Tests

The baby's health care provider will run blood and urine tests to check for the virus.

Treatment

There is no specific treatment for congenital rubella. Symptoms are treated as appropriate.

Outlook (Prognosis)

The outcome for a child with congenital rubella depends on the severity of problems present. Heart defects can often be corrected. Damage to the nervous system is permanent.

Possible Complications

Complications may involve many parts of the body.

Eyes:

  • Cataracts
  • Glaucoma
  • Retinitis

Heart:

Central nervous system:

  • Intellectual disability
  • Motor disability
  • Small head from failed brain development
  • Encephalitis
  • Meningitis

Other:

  • Deafness
  • Low blood platelet count
  • Enlarged liver and spleen
  • Abnormal muscle tone
  • Bone disease

When to Contact a Medical Professional

Call your health care provider if you have concerns about congenital rubella, if you are unsure of your vaccination status, or if you or your children need a rubella vaccine.

Prevention

Vaccination prior to pregnancy can prevent congenital rubella. Pregnant women who are not immune to rubella should avoid contact with persons who have the virus.

References

Mason WH. Rubella. In: Kliegman, RM, Behrman RE, St. Geme III JW, Schor NF, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 239.

Edlich RF, Winters KL, Long WB 3rd, Gubler KD. Rubella and congenital rubella (German measles). J Long Term Eff Med Implants. 2005;15(3):319-328.

Bar-Oz B, Levichek Z, Moretti ME, Mah C, Andreou S, Koren G. Pregnancy outcome following rubella vaccination: a prospective controlled study. Am J Med Genet A. 2004;130(1):52-54.

Robertson SE, Featherstone DA, Gacic-Dobo M, Hersh BS. Rubella and congenital rubella syndrome: global update. Rev Panam Salud Publica. 2003;14(5):306-315.

Updated: 5/10/2013

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.


©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com