What if My Child Has Chicken Pox and I’m Pregnant

Discovering that your child has contracted chickenpox can be a concerning situation, especially if you are pregnant. Pregnancy introduces additional considerations and precautions. In this article, we’ll discuss the implications of a child having chickenpox while the mother is pregnant, addressing concerns, and providing guidance on how to navigate this situation.

Understanding Chickenpox

Chickenpox, caused by the varicella-zoster virus, is a highly contagious disease characterized by an itchy rash and fever. It is most common in childhood and usually resolves on its own within a week or two.

Risk to the Unborn Child

If you’ve had chickenpox in the past, you are likely immune. However, if you haven’t had it or been vaccinated, contracting it during pregnancy can pose risks to both you and your unborn child. Complications, though rare, can include pneumonia, encephalitis, and, in severe cases, can affect the baby’s development.

First Trimester Concerns

Contracting chickenpox in the first trimester carries a slightly higher risk of congenital varicella syndrome (CVS) for the unborn child. CVS can result in birth defects, including limb abnormalities, intellectual disabilities, and skin scarring.

Second and Third Trimester Concerns

If you contract chickenpox later in pregnancy, the risk of CVS is significantly reduced. However, there is still a chance of transmission to the baby during birth, which can lead to neonatal varicella. This is a serious but rare condition.

Precautions for Pregnant Women

If you are pregnant and have been exposed to chickenpox, it is crucial to seek medical advice promptly. Your healthcare provider will assess your immunity status and recommend appropriate measures based on your specific situation.

Preventing Chickenpox Transmission

To protect both you and your unborn child, it is essential to take precautions if your child has chickenpox:

Isolation: Keep your child isolated until the contagious period has passed, usually about a week after the appearance of the rash.

Hygiene: Emphasize proper handwashing and hygiene practices to prevent the spread of the virus.

Avoid Close Contact: Minimize close contact with the infected child, and if possible, have someone else care for them.

Consult Your Healthcare Provider: Inform your healthcare provider about the situation and follow their guidance closely.

Vaccination for Non-Immune Pregnant Women

If you are not immune to chickenpox and are planning a pregnancy or have recently given birth, discuss vaccination with your healthcare provider. The chickenpox vaccine is a safe and effective way to protect against the virus.

Treatment for Chickenpox

For the child with chickenpox, focus on comfort and symptom relief. Your healthcare provider may recommend over-the-counter medications for fever and itching. Avoid giving aspirin to children, as it may be associated with a rare but serious condition called Reye’s syndrome.

Post-Exposure Prophylaxis

If you are pregnant and have been exposed to chickenpox, there is a treatment option called varicella-zoster immune globulin (VZIG). This injection, when administered within a specific timeframe after exposure, can help reduce the severity of the infection.

Seeking Medical Advice

It cannot be stressed enough: if you are pregnant and your child has chickenpox or if you suspect exposure, contact your healthcare provider immediately. They will provide personalized advice based on your specific circumstances.


Discovering that your child has chickenpox while you are pregnant can be a stressful situation. However, by taking swift and appropriate action, you can minimize the risks and ensure the well-being of both yourself and your unborn child. Seek guidance from your healthcare provider, follow recommended precautions, and remember that timely medical attention is crucial. With the right steps, you can navigate this situation with care and confidence.