2009
DOI: 10.1016/j.jcv.2009.09.003
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Does hygiene counseling have an impact on the rate of CMV primary infection during pregnancy?

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Cited by 218 publications
(204 citation statements)
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“…Because some of the behaviors we studied (e.g., kissing, sharing food) represent cultural norms or usual mother-child intimacy among some subgroups in the United States, it will be important to understand how to frame the behavioral guidelines in a way that increases the likelihood that women will accept them and incorporate them into their daily routines. Previous research suggests that women are receptive to such guidelines even though they may represent a departure from cultural norms (Adler, 2011;Ross et al, 2008;Vauloup-Fellous et al, 2009). Because CMV reactivation may be responsible for some congenital CMV infections, not all congenital infections may be preventable by avoiding CMV exposures.…”
Section: Discussionmentioning
confidence: 99%
“…Because some of the behaviors we studied (e.g., kissing, sharing food) represent cultural norms or usual mother-child intimacy among some subgroups in the United States, it will be important to understand how to frame the behavioral guidelines in a way that increases the likelihood that women will accept them and incorporate them into their daily routines. Previous research suggests that women are receptive to such guidelines even though they may represent a departure from cultural norms (Adler, 2011;Ross et al, 2008;Vauloup-Fellous et al, 2009). Because CMV reactivation may be responsible for some congenital CMV infections, not all congenital infections may be preventable by avoiding CMV exposures.…”
Section: Discussionmentioning
confidence: 99%
“…To date, of 37 pregnant women with a child shedding CMV, we have observed only one who received hygienic precautions and seroconverted to CMV during pregnancy, compared to infection rates of 42% for 64 of 154 nonpregnant women with a child shedding CMV, including seronegative women who were trying to conceive [22]. This observation has recently been confirmed and expanded in a French study where 5312 pregnant women were offered CMV serologic screening during pregnancy [12]. Of these women, 97.4% agreed to screening and signed a consent.…”
Section: Interventionsmentioning
confidence: 59%
“…When adjusted for the number of woman-weeks observed, the rate prior to 12 weeks gestation was 0.035% per woman-week compared to a rate of 0.008% per woman-week after intervention (P = 0.005). Maternal primary infections and seroconversions were distributed evenly throughout gestation [12].…”
Section: Interventionsmentioning
confidence: 99%
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“…Although the above studies were not powered to answer the key questions and suffered from substantial methodological limitations 6 , they were important pilot studies and they were instrumental to the design of subsequent larger studies. More recently, a French study conducted among more than 5000 pregnant women at a single hospital in Paris showed a reduction from 0.4% to 0.2% in the seroconversion rate following CMV counseling 7 . However, the con- at delivery who were neither tested for, nor informed about CMV during pregnancy, and who had a serum sample stored at the time screening for foetal aneuploidy.…”
mentioning
confidence: 99%