2025-06-19 14:05:00
New Screening for CMV in Pregnant Women
Teh High Authority for health (HAS) in France is recommending systematic screening for cytomegalovirus (CMV) in pregnant women to protect against fetal complications.
- A systematic blood test is now recommended for all pregnant women.
- CMV can cause serious complications for the fetus.
- Preventive treatment with valaciclovir is available for recent infections.
The High Authority for Health (HAS) in France is changing the game for pregnant women. The HAS now recommends systematic serological testing for cytomegalovirus (CMV) infection, a move designed to prevent the transmission of the virus to the fetus.
This decision means that all pregnant women whose serological status is unknown or negative should be offered this screening. This screening involves a blood test to search for antibodies (IgG and IgM), as well as avid tests, which help determine if a possible infection is old or recent.
Approximately 46% of women aged 15 to 49 in France have already been in contact with CMV. However, this proportion varies substantially by region, reaching up to 90% in the DROM (Overseas Departments and Regions). CMV, a member of the herpes virus family, spreads through direct contact with bodily fluids like saliva, urine, and breast milk.
In the majority of cases (90%), CMV infection goes unnoticed.But when a pregnant woman gets it, it can be serious. Potential complications include hearing loss, neurological disorders, developmental delays, and even paralysis in the fetus. It impacts between 1 and 6 children out of 100,000 births.
Did you know?-CMV is the most common congenital infection in the world. It is more common than Down syndrome, spina bifida, and fetal alcohol syndrome.
For women who have never been infected with CMV, the HAS stresses the importance of preventive hygiene measures. Thes measures were previously detailed by the High Public Health Council.
Reader question:-What specific hygiene measures are most effective in preventing CMV transmission during pregnancy? Share your experiences and tips in the comments below.
If a woman’s serology indicates a recent primary infection, treatment with valaciclovir is recommended.Also, women need to stay sufficiently hydrated. The medication should be taken in several doses over 24 hours to reduce kidney side effects.
Data collected between 2007 and 2023 revealed no evidence of teratogenicity. But, the HAS points out, “Uncertainties persist on the extent of its effectiveness (…) and it is necessary to monitor the appearance of undesirable effects not yet identified.”
the implementation of this screening process will involve training healthcare professionals and standardizing monitoring protocols for at-risk pregnant women. Clear data for women at the beginning of their pregnancies is essential. A reassessment of the screening program will take place in three years to assess its impact.
Understanding Long-Term Implications of CMV
The recent implementation of CMV screening in pregnant women in France marks a critically important step forward in prenatal care. However, understanding the full scope of the virus and its potential impact is crucial. Here, we’ll delve deeper into the long-term consequences of congenital CMV infection and explore the importance of ongoing research and support.
As we’ve established, CMV is a common virus that often goes unnoticed. [[3]] Though, when CMV is transmitted from a mother to her developing fetus, it can lead to congenital CMV. This means the baby is born with the infection. While some infants show no symptoms at birth, others experience a range of health problems. Some of the more serious symptoms include:
- Hearing loss
- Vision impairment
- Developmental delays
- Seizures
- cerebral palsy
Congenital CMV can cause long-term neurological damage, which can affect a child’s development and quality of life. Early detection and intervention are critical for mitigating the effects of congenital CMV.
the severity of the outcomes can vary considerably. This depends on when the mother contracted the CMV during pregnancy and the health of the baby. Some children with congenital CMV will require lifelong specialist care.This might include hearing aids, speech therapy, and educational support. Children with severe cases may experience significant physical and cognitive disabilities.
The screening program in France, along with potential valaciclovir treatment, offers a crucial opportunity to reduce the risk of adverse outcomes. But, the journey doesn’t end at birth. early identification, as highlighted by the HAS, is key. Newborns with confirmed or suspected congenital CMV require careful monitoring and specialized care. Pediatricians, audiologists, and developmental specialists play vital roles in assessing the child’s needs and providing appropriate interventions.
A key aspect of managing congenital CMV is providing early intervention services. These can include:
- Hearing screenings and audiological support.
- Physical therapy.
- Occupational therapy.
- Speech therapy.
- Developmental assessments.
Families navigating the challenges of congenital CMV need specialized support. This may include information on resources and financial assistance. Other resources coudl be parent support groups for emotional support and shared experiences.
Research into CMV is ongoing, with scientists exploring innovative treatment options such as antiviral medications and vaccines to prevent CMV infection during pregnancy. Further research is also needed to fully understand the long-term outcomes of children with congenital CMV. More research is needed to determine who will have the best outcomes from early detection and intervention.
As France implements CMV screening, the importance of education and awareness cannot be overstated. By raising awareness among healthcare providers and the public,we can reduce the stigma associated with the condition. It will ensure that affected families receive the support they need.
What are the signs of congenital CMV in newborns? Some common signs include a small head size, jaundice, and a rash. Though,manny babies show no noticeable symptoms at birth.
How can I protect my child if I had CMV during pregnancy? Early intervention services are essential.Regular check-ups are vital. Also,seek supportive care from support groups or medical professionals.
