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Expert Q&A:
Will exposure to chicken pox harm my unborn baby if I've already had the disease?

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Suzanne Dixon
Answered by Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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Question


I am an expectant mother. My baby is due November 5. My elder son is 6 years old and has chicken pox. Is this a problem for me (I had chicken pox when I was 8 years old) or for the baby inside my womb?

Answer


Your question, which arrived in early October, led me to conclude that your son will be entirely over chicken pox by your delivery date in November. It generally takes up to three weeks for the pox bumps to stop erupting and to crust over, at which time he would no longer be at risk for spreading the disease to anybody. You are protected from getting the disease as you had it in the past. If anything, your son's illness will boost your immunity. You have already and will continue to pass on antibodies to your unborn child so he or she will be born with protection, protection that will only be strengthened by breastfeeding. Your milk will contain antibodies as you are immune. So even if the baby comes into a household where chicken pox is still present, he or she will have protection. There is a special concern only if:

* the mom has not had chicken pox or doesn't know whether she did
* the pox break out just before or right after birth so the baby has no protective antibodies passed on in time to help
* the older child has additional infection of the lesions with staph or strep bacteria that could be an additional danger to the infant

In these cases, additional testing and perhaps treatment might be needed, so let all health care providers know. Don't bring your older son to any health care facility while he has any active lesions. Keep him home and comfortable, and rest assured knowing your unborn child is not at risk.

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