The impact of fever due to influenza during early pregnancy on the baby?
Hello doctor, I had the flu and a fever of 38 degrees Celsius during the early stages of my pregnancy at 6 weeks.
I did not take any medication and recovered naturally.
After my baby was born, I was very anxious, but now that he is one year old, he is developing normally and is a lively and adorable child.
However, I still feel uneasy whenever I think about that incident.
Recently, I came across information suggesting a link between schizophrenia and mothers contracting the flu during pregnancy, which has been keeping me awake at night.
I cannot imagine my lovely child growing up without a normal life.
I would like to know if there is really a connection between these two issues.
Momo, 0~9 year old female. Ask Date: 2021/03/29
Dr. Pei Rensheng reply Pediatrics
Hello! There are research reports indicating that women hospitalized due to influenza are not only more likely to experience preterm labor and give birth to low birth weight infants, but their babies also have an eightfold increased risk of having low APGAR scores (indicating instability in breathing, heart rate, and muscle tone at birth).
Studies from August 2004 and December 2017 suggest that mothers who contract influenza during the first trimester of pregnancy may increase the risk of their children developing schizophrenia by 3 to 7 times.
While the literature does describe these findings, the number of cases studied is limited, and if you have a mild case of influenza, there is no need to worry too much! Wishing you health, happiness, and safety! Sincerely, Ren Sheng.
Reply Date: 2021/03/29
More Info
The concern regarding the impact of maternal influenza and fever during early pregnancy on a child's development, particularly in relation to schizophrenia, is a topic that has garnered attention in medical research. It is understandable to feel anxious about the potential long-term effects of any illness experienced during pregnancy, especially when it comes to the health and well-being of your child.
Research has indicated that maternal infections, including influenza, during the first trimester of pregnancy can be associated with an increased risk of neurodevelopmental disorders in children, including schizophrenia. Studies have shown that mothers who experience influenza during the early stages of pregnancy may have children with a higher risk of developing schizophrenia later in life, with estimates suggesting an increased risk of 3 to 7 times compared to those whose mothers did not have such infections. However, it is crucial to note that while these associations exist, they do not imply causation. The actual incidence of schizophrenia is relatively low, and many children born to mothers who experienced influenza during pregnancy develop normally.
In your case, you mentioned that you had a mild case of influenza with a fever reaching 38 degrees Celsius (approximately 100.4 degrees Fahrenheit) at around six weeks of gestation. It is important to highlight that mild fevers during pregnancy, particularly those that do not exceed 38.9 degrees Celsius (102 degrees Fahrenheit) and are not prolonged, are generally not associated with significant risks to fetal development. Most studies suggest that the risks associated with maternal fever are more pronounced when temperatures exceed this threshold for extended periods, particularly during critical periods of fetal development, such as the first trimester when the neural tube is forming.
Furthermore, your child’s current development as a lively and healthy one-year-old is a positive sign. Early developmental milestones are crucial indicators of a child's health, and the fact that your child is thriving is reassuring. It is also worth noting that anxiety and stress during pregnancy can have their own implications, but they are typically manageable and do not directly cause chromosomal abnormalities or major developmental issues.
To alleviate your concerns, it may be beneficial to focus on the positive aspects of your child's development and to engage in supportive practices that promote both your well-being and that of your child. Regular pediatric check-ups, maintaining a healthy lifestyle, and fostering a nurturing environment can significantly contribute to your child's growth and development.
If you continue to feel anxious about this issue, consider discussing your concerns with a healthcare professional or a counselor who specializes in maternal and child health. They can provide you with more personalized guidance and support, helping you to navigate your feelings and any lingering worries about your child's future.
In summary, while there is some evidence linking maternal influenza during early pregnancy to an increased risk of schizophrenia, the actual risk remains low, especially in cases of mild illness. Your child's current healthy development is a strong indicator that everything is progressing well. Focus on nurturing your child and maintaining your own mental health, and seek professional support if needed.
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