Impact of Rubella Virus on the Fetus

Written by Du Rui Xia
Obstetrics
Updated on May 25, 2025
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During pregnancy, if a pregnant woman is infected with rubella virus, it poses a significant risk to the fetus, primarily causing congenital developmental abnormalities. For example, there may be cardiac malformations, congenital heart disease, cataracts, and deafness. Some may experience delayed brain damage during infancy after the baby is born, as well as diabetes or other central nervous system disorders. When rubella virus infection occurs, it is generally advised to consider terminating the pregnancy. The risk of fetal infection and congenital malformations is highest in early pregnancy, potentially exceeding 80%.

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Written by Xiong Hong Hai
Infectious Disease
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What does rubella virus mean?

Rubella virus is the pathogen of rubella, belonging to single-stranded positive-sense RNA viruses. Rubella virus can easily cause vertical transmission. If pregnant women are infected with rubella virus in the early stages of pregnancy, it may enter the fetus through the placental barrier, leading to stillbirth, miscarriage, or fetal deformities. The survival ability of rubella virus outside the human body is relatively weak. It is very sensitive to ultraviolet light, ether, and common disinfectants, which can generally kill the virus. After infection with rubella virus, the disease is self-limiting, and most cases can recover on their own in about two weeks, primarily through symptomatic treatment.

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Written by Xiong Hong Hai
Infectious Disease
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How is rubella virus caused?

Rubella is an acute infectious disease primarily caused by the rubella virus, which can lead to a series of symptoms following infection. It can be transmitted from mother to child, as the rubella virus can pass to the fetus through the placenta. Additionally, it can be transmitted through airborne respiratory droplets commonly found in the environment. Patients with rubella have a high concentration of the virus in their saliva. When they talk, cough, or sneeze, virus-laden droplets are produced. When ordinary people inhale these droplets, they may contract the disease. Rubella is self-limiting, and most cases are mild and can fully recover on their own.

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Written by Du Rui Xia
Obstetrics
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Can you breastfeed with postpartum rubella?

When a mother develops rubella postpartum, she should not breastfeed her baby. This is because the rubella virus can be directly transmitted to the baby, affecting the baby's growth and development. Rubella virus is dangerous as it comes from respiratory infectious diseases. The patient is the only source of infection, mainly spreading through droplets, contact transmission, and mother-to-child transmission. Moreover, the incidence of rubella virus infection is very high in children aged five to six months, and the younger the age, the lower the body's resistance and the higher the incidence rate. Therefore, it is best for mothers to temporarily stop breastfeeding during the breastfeeding period.

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Written by Xiong Hong Hai
Infectious Disease
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Does rubella virus require treatment?

Rubella virus generally does not have specific antiviral drugs, and treatment is mainly symptomatic. Most cases of rubella are relatively mild and many do not require treatment; full recovery usually occurs within about two weeks. For those presenting with noticeable fever and joint pain, symptomatic treatment can be provided, such as choosing some antipyretics or pain relievers. Generally, patients do not need hospital treatment. After recovery from the illness, relapse generally does not occur and one may acquire some immunity. Most patients do not have any sequelae, but pregnant women may face the risk of miscarriage or fetal malformation.

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Written by Xiong Hong Hai
Infectious Disease
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Rubella is caused by the rubella virus.

Measles is a contagious disease, mainly caused by infection with the rubella virus. Rubella can be transmitted through the air, droplets, and respiratory paths, and can also be spread by ordinary contact between people. There are large amounts of rubella virus in the saliva of patients with rubella, and when they talk, cough, or sneeze, droplets carrying the virus are produced. People with low immunity who inhale these droplets can become infected. Rubella is an acute self-limiting disease, and currently, there are no specific antiviral drugs available. Many patients can fully recover in about two weeks.