What causes rubella?

Written by Huang Ling Juan
Dermatology
Updated on February 11, 2025
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Rubella is primarily caused by an infection of the rubella virus, a type of acute respiratory contagious disease. Once rubella occurs, it is transmitted through respiratory droplets, and children are more susceptible to this disease. Patients with rubella are the only source of infection. The rubella virus is transmitted through respiratory droplets and close personal contact. If pregnant women are infected with rubella, especially during the early stages of pregnancy, the virus can be transmitted to the fetus through the placenta. Rubella is caused by the rubella virus infection, but certain conditions are required such as a decrease in the body's resistance or the absence of antibodies against the rubella virus in the body, which can lead to the development of rubella. Clinically, it is usually characterized by mild fever, widespread small and unevenly sized papules across the body, and swollen lymph nodes behind the ears, on the neck, and at the base of the skull.

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Written by Huang Ling Juan
Dermatology
1min 8sec home-news-image

What causes rubella?

Rubella is primarily caused by an infection of the rubella virus, a type of acute respiratory contagious disease. Once rubella occurs, it is transmitted through respiratory droplets, and children are more susceptible to this disease. Patients with rubella are the only source of infection. The rubella virus is transmitted through respiratory droplets and close personal contact. If pregnant women are infected with rubella, especially during the early stages of pregnancy, the virus can be transmitted to the fetus through the placenta. Rubella is caused by the rubella virus infection, but certain conditions are required such as a decrease in the body's resistance or the absence of antibodies against the rubella virus in the body, which can lead to the development of rubella. Clinically, it is usually characterized by mild fever, widespread small and unevenly sized papules across the body, and swollen lymph nodes behind the ears, on the neck, and at the base of the skull.

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Written by Xiong Hong Hai
Infectious Disease
49sec home-news-image

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.

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Written by Xiong Hong Hai
Infectious Disease
42sec home-news-image

Does rubella virus affect pregnancy?

A positive rubella virus infection indeed affects pregnancy, as the rubella virus can enter the fetus through the placental barrier, thereby easily leading to stillbirth, miscarriage, and fetal deformities. Therefore, if women of childbearing age are infected with the rubella virus, they should not get pregnant at this time. It is safer to wait until the condition has fully improved before attempting to conceive. In the early stages of pregnancy, if infected with the rubella virus, a decision on whether to continue the pregnancy should be made under the comprehensive assessment of an infectious disease specialist and an obstetrician/gynecologist, taking into account the actual situation for appropriate treatment and management.

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Written by Du Rui Xia
Obstetrics
51sec home-news-image

The impact of rubella virus on the fetus

During pregnancy, if the pregnant woman is infected with the rubella virus, the impact on the pregnant woman herself is not significant; however, it primarily causes severe effects on the fetus. The main impact on the fetus is congenital damage, primarily involving congenital developmental abnormalities, with the early stages of pregnancy being the most critical. This period is a crucial phase of fetal development. If infected with the rubella virus, the risk coefficient can be as high as 80%. After intrauterine infection of the fetus, some patients may develop congenital rubella syndrome, primarily involving cardiac defects, cataracts, deafness, and even delayed brain damage after the baby is born.

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Written by Du Rui Xia
Obstetrics
43sec home-news-image

Can you breastfeed with postpartum rubella?

When a mother develops rubella postpartum, she should not breastfeed her baby. This is because the rubella virus can be directly transmitted to the baby, affecting the baby's growth and development. Rubella virus is dangerous as it comes from respiratory infectious diseases. The patient is the only source of infection, mainly spreading through droplets, contact transmission, and mother-to-child transmission. Moreover, the incidence of rubella virus infection is very high in children aged five to six months, and the younger the age, the lower the body's resistance and the higher the incidence rate. Therefore, it is best for mothers to temporarily stop breastfeeding during the breastfeeding period.