- There is a wide differential diagnosis for rash in pregnancy.
- Investigations should cover all the possible differential diagnosis, including rubella, parvovirus B19 and syphilis.
- Pregnant women with a rash or who have been in contact with patients with confirmed infections (rubella, PVB19, etc) should be referred for medical management.
- Following spontaneous vaginal delivery, 6–9% of patients will have a temperature of 38°C or more, but only a third of these will have a microbial infection.
- Whilst one recorded temperature of 38°C is not sufficient to diagnose pyrexia, a patient presenting with a temperature of 38°C or above needs to be carefully assessed and monitored.
- The use of antipyretics in febrile pregnant women is imperative to help prevent intrauterine hyperthermia and possible fetal damage.