Table 2. The primary prevention of transplacental infections*.
| Measure | Protects against | Recommendations |
|---|---|---|
| •Avoid contact with people who have an acute infection (fever, rash) | •Cytomegalovirus, parvovirus B19 infection | •In the event of a parvovirus B19 outbreak in the area, consult a doctor; targeted exposure prophylaxis is difficult, as infectivity is highest before symptoms appear |
| •Avoid contact with saliva and urine from infants and young children | •Cytomegalovirus | •Wash hands after contact with urine and saliva; do not kiss children on the mouth; do not share eating utensils or towels with children |
| •Avoid contact with cat feces; wash hands regularly | •Toxoplasmosis | •Do not clean the litter box yourself; wear gloves when gardening |
| •Do not consume certain foods; maintain good kitchen hygiene | •Toxoplasmosis | •Do not consume unwashed vegetables/fruit, pre-cut, packaged salads, raw sprouts, or meat and sausage products made from raw, smoked, or undercooked meat; thoroughly clean cutting boards |
| •Avoid unprotected sexual intercourse | •Syphilis | •Use condoms; get tested for sexually transmitted diseases after possible exposure |
The Committee on Maternity Protection issued a background paper on primary prevention in 2022: www.ausschuss-fuer-mutterschutz.de/fileadmin/content/Dokumente/MuSchH_01-2022_Information_zur_Relevanz_von_Infektionserregern_in_Deutschland_aus_Sicht_des_Mutterschutzes.pdf