What does it mean if rubella virus IgG antibodies are high before pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on February 05, 2025
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Before pregnancy, it is generally necessary to undergo eugenic prenatal tests, and the rubella virus test is one of them. If the test shows that rubella virus IgG antibodies are elevated, this indicates that the patient has previously been infected with the virus or has been vaccinated against the rubella virus, and antibodies have been produced in the body, providing immunity to the virus. Therefore, when a rubella virus IgG is detected, the patient does not need to be particularly worried, as this result does not affect a normal pregnancy. Regardless of whether or not one has been vaccinated against rubella, it is advisable to avoid contact with children infected with rubella during early pregnancy to prevent contracting the rubella virus, which can affect the growth and development of the fetus.

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Written by Xiong Hong Hai
Infectious Disease
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Is the rubella virus easily contagious?

Rubella virus is relatively easy to contract. It can be transmitted through airborne droplets or through contact between people, so it's best to isolate oneself during an infection. Currently, there is no specific antiviral treatment for rubella; management typically involves symptomatic treatment. Many patients with mild conditions can recover completely in about two weeks without treatment. Generally, the infection does not recur, and one usually gains immunity, preventing re-infection. After recovering from rubella, there are generally no significant sequelae.

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Written by Xiong Hong Hai
Infectious Disease
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How to treat rubella virus positive?

If the test for rubella virus is positive, there are no specific antiviral drugs available. Rubella is a self-limiting disease; most patients can fully recover on their own and it usually does not recur. Generally, most people can fully recover in about two weeks. In terms of treatment and management, it primarily involves addressing any complications. For example, antipyretic and analgesic medications can be used for significant fever. Any other discomfort needs symptomatic treatment. Generally, treatment should be based on the actual condition of the patient. Most patients can fully recover and usually do not need hospital treatment, but it is necessary to ensure proper isolation since the rubella virus can be transmitted to others through the air, droplets, or respiratory routes.

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Written by Xiong Hong Hai
Infectious Disease
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What department should I go to for rubella virus testing?

If testing for rubella virus, it is best to consult the Department of Infectious Diseases or the Department of Infectious and Parasitic Diseases. Rubella virus-specific antibody IgM can be detected through blood tests, or the virus can be isolated from the patient's nasopharyngeal secretions. For pregnant women, the presence of the rubella virus in the amniotic fluid can be examined to diagnose whether the fetus has contracted the infection. After rubella virus infection, there are no specific antiviral drugs available; treatment mainly involves symptomatic care. Rubella itself is a self-limiting disease, which usually fully recovers in about two weeks.

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Written by Xiong Hong Hai
Infectious Disease
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Does the blood test for rubella virus require fasting?

During the examination for rubella, blood can be drawn to test for rubella virus-specific antibodies IgG and IgM. It is best to conduct these tests on an empty stomach as fasting results are more accurate. Additionally, rubella virus can be isolated from some of the nasal secretions of the patient, though this test is more expensive and less commonly used. Rubella is a self-limiting disease; if IgM is found positive through rubella antibody testing, rubella can be confirmed and symptomatic treatment should be administered. There is no specific antiviral medication for the rubella virus.

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Written by Xiong Hong Hai
Infectious Disease
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How is the rubella virus transmitted?

Rubella virus can be transmitted through airborne respiratory droplets, as well as through common contact between individuals, and can also spread through mother-to-infant contact and vertical transmission from mother to infant. The saliva of rubella patients contains a large number of rubella viruses, and airborne droplets carrying the virus can be produced when talking, coughing, or sneezing. People with low immunity who inhale these droplets can then develop the disease. Rubella is an acute self-limiting disease. Diagnosis requires a comprehensive assessment of the patient's clinical symptoms and blood tests for rubella-specific antibodies. Once a definite diagnosis is made, symptomatic treatment should be administered.