Dr. Chapa’s OBGYN Clinical Pearls More Measles Material
Nov 17, 2025
This discussion dives deep into the impacts of measles during pregnancy. It outlines the critical 'rule of four' for infectious periods and highlights risks like pneumonia and fetal complications. Listeners will learn about diagnostic signs, including the infamous Koplik spots, and how timing can influence outcomes. The podcast also clarifies that measles isn't a known teratogen and addresses concerns regarding breastfeeding and newborn protection. Plus, insights on vaccination timing for nonpregnant contacts make it a vital listen!
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Rubella Immunity ≠ Measles Immunity
- Measles (rubeola) and rubella are distinct; rubella immunity does not guarantee measles immunity.
- Clinicians must test rubeola IgG separately when measles protection matters in pregnancy.
Clinic Cases Reveal Immunity Gaps
- Dr. Chapa shares de-identified clinic cases showing patients who were rubella-immune but rubeola-nonimmune.
- His clinic population's migratory background revealed measurable immunity gaps worth addressing.
Prodrome And Koplik Spots Are Key Clues
- Measles prodrome often causes fever plus at least one of the three C's: cough, coryza, or conjunctivitis.
- Koplik spots appear in the buccal mucosa before the rash in ~70% of cases and are pathognomonic.