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Slapped cheek- very worried- advice needed

Discussion in 'Pregnancy' started by sunshinesarah, Mar 19, 2012.

  1. sunshinesarah

    sunshinesarah New commenter

    I only found out yesterday that a am pregnant, only 4 weeks so very very early. I went into work today to find that slapped cheek is going around my class and school. The child is staying at school and does not need to be off. I was concerned so phoned the Dr and he said that I will need to have a blood test to see if I am immune, which I am going to have done tomorrow after school. The Dr said I do not need to stay off work, it is only contagious (sp) 20 days before rash. However, just come home and read on here that lots of people have been told not to go in until blood results back.
    I have not told anyone at work that I am pregnant as it is so early. Any advice gratefully received.
     
  2. sunshinesarah

    sunshinesarah New commenter

    I only found out yesterday that a am pregnant, only 4 weeks so very very early. I went into work today to find that slapped cheek is going around my class and school. The child is staying at school and does not need to be off. I was concerned so phoned the Dr and he said that I will need to have a blood test to see if I am immune, which I am going to have done tomorrow after school. The Dr said I do not need to stay off work, it is only contagious (sp) 20 days before rash. However, just come home and read on here that lots of people have been told not to go in until blood results back.
    I have not told anyone at work that I am pregnant as it is so early. Any advice gratefully received.
     
  3. Sarah, first off, try not to worry! I'm one of the people signed off at the moment, and have done quite bit of research in the week I've been off so far. I'll post a coupe of links at the bottom of this message, but the risks are almost nil in very early pregnancy as there is no exchange of fluids in the uterus) . After 4 weeks though, you are at risk. Advice from patient.co.uk suggests that pregnant women should stay away from infected people. The disease can have an incubation period of up to 3 weeks, so you need to be sure that no-one at your school is disgnosed for 3 weeks before the risk has passed. Once the symptoms show, a child is no longer contagious, though.
    Did your GP tell you how long it would take to get your results? You can self-certify for 5 working days but after that you would need a GP's note to stay off. Personally, I think you should be pushing your GP to sign you off until your results are in - see another GP if you aren't happy with te advice you have been given....
    http://www.patient.co.uk/health/Slapped-Cheek-Disease.htm
    http://www.patient.co.uk/doctor/Parvovirus-Infection-(Including-Erythema-Infectiosum).htm (aimed at GPs)
     
  4. sunshinesarah

    sunshinesarah New commenter

    Thanks for the reply littleMissCurious. Dr did not say how long results would take. My sister in law works at a family centre and she asked the midwife there and she said i should not be in until results back.

    What to do now? I might have to go in and speak to head in morning and give opinion from Dr and that of midwife and see what she says? I am dreading having to tell her.
     
  5. Phone in sick tomorrow, then arrange to call your HT later in the day to discuss the situation. I wouldn't mention your GP's advice so far - wait until you have a second opinion on what you should do.
    Don't worry about telling your HT - your health and that of your baby come first. You're not the first to take time off because of pregnancy risks, and you certainly won't be the last. Any absence you have which is pregnancy related will be recorded separately to other illness absence, and cannot go against you on a reference or begin absence monitoring procedures, so it's better for you if your HT knows the truth at this stage. She will also be able to help you in putting together a risk assessment to protect you from other pregnancy related risks.
     
  6. I've just been off due to slapped cheek. School said it was my decision but if one child was showing signs others may have caught it too just not showing symptoms. I spoke to my midwife who asked me in for a blood test. Results were at the EPAU within 48 hours just had to ring them. Turned out I had contact showing as old therefore immune. No recent contact showed up. Apparently most people are immune but best to be safe. I'm supply so list 3 days pay for being off but better that than anything more serious. Ci would tell your HT and explain you are only letting her know so early on due to health and safety. I was off with severe sickness day and night for 6 weeks at the start if my pregnancy so had to tell the school and my agency early.
     
  7. Hiya. I've just gone back to work after two weeks waiting to hear that I am immune to slapcheek. I agree with what LMC says - she's become somewhat of an expert on the matter! A little early to panic, but you probably don't want to be going into school. As the rash only comes up once the child is no longer infectious, you can't be sure who has caught it in those 20 days. I'm not surprised your doctor said you didn't need to be off. The first doctor I spoke to was very vague and said I might stay off for a few days if I was worried, but I could catch it anywhere if I weren't immune. It was only seeing my GP, a young mum, that led to being signed off until the results were in. I wonder whether part of your worry is that you haven't told anyone about your pregnancy. All I can say is I was pushed in to telling my Head much earlier than I would have liked due to an ectopic scare at 5 weeks. I needed sick leave and wanted to tell the truth. To be honest I was in such a state anyway that I couldn't have come up with anything convincing. My Head and Office Manager were very kind and supportative in the circumstances.
     
  8. sunshinesarah

    sunshinesarah New commenter

    Hiya. Thanks for all your advice. I have been driving myself mad not knowing what to do. I went into school on tuesday morning and spoke to head. Gave her all the advice I had been given and she said she has got too many staff off at the moment to let me go home. Then 20 mins later she said she has sorted cover so could go home and get blood test done. However, she did then go on to say let me know how you get on and that she could not let me have 2 weeks of for just a little chance that anyone is contagious. So had test done Tuesday and been back at work since Wednesday. Just waiting for results to come back and keeping my fingers crossed that I am immune.
     
  9. Sarah, I know this is going to sound harsh, but its not up to your head to "let" you have time off for a pregnancy relayed blood test - you are entitled to attend pre-natal medical appointments! She also can't decide if you are allowed time off to protect your baby from (again, sorry to sound harsh) potential miscarriage or fetal anaemia which can require a pre-birth transfusion for baby. Www.patient.co.UK recommends to healthcare professionals that pregnant women avoid contact with potentially infectious people. As your head now knows you are pregnant, sdhe has an obligation to protect you from undue risk. Please, see a gp and get signed off today. I have some info I can e mail you.if you pm me an e mail address.
    gets down from soapbox and makes a cup of tea... Think I need the caffeine!
     
  10. I can't believe the attitude of your HT. it's not up to her. Your bloods shouldn't be too much longer and best case scenario a couple of days off waiting would have been all you needed. If it turns out you are not immune then you must get signed off til kids have stopped developing symptoms. Schools have supply budgets and for absences over 2 weeks are able to claim an insurance. Your blood test will tell you if you had recent contact but who knows what's changed since your test if you are back at school. It is very irresponsible of the HT to behave like this.
     
  11. I had this scenario in my 1st pg and after 10 years of teaching ks1, it turned it that I had never had it and was therefore not immune. My gp said pretty much the same as your gp (that you could catch it anywhere - I begged to differ as bumping into someone with slapped cheek in the shops for 5 seconds is NOT the same as being in a class with 2 definite cases (and poss more) for 6 hours a day). Anyway, my ht was being a bit off about it and it was only after they had spoken to local authority hr that he 'agreed' to me being off til the results came back. As I say, it came back showing I was susceptible and I had the rest of the term off - which I thoroughly enjoyed as 1) I was p'd off with ht's lack of concern for me and my unborn child 2) the weather was great and I got all my reports done in my leisure in the back garden :D
    Good luck x
     
  12. The patient.co.uk website aimed at GPs says anyone with parvovirus should be advised "avoid contact with those at risk of complications: pregnant women, immunocompromised patients and those with haematological conditions" as "Within households and in institutions, transmission is difficult to prevent, but handwashing is recommended."
    In terms of prevention:
    Infection control - special considerations are required in the following situations:
    • Confirmed parvovirus B19 (acute infection) in a healthcare worker
    • Susceptible (seronegative) healthcare workers
    • Other susceptible employees, e.g. teachers
     
  13. LMC, you have been investigating hard! It's very useful! Thank you.

    I've just found out today that there have been cases in the nursery linked to our school which also acts as the before and after school club. The doctor says that since I'm 26 weeks and have not been directly in contact then I shouldn't be at risk and I don't need a blood test. He sounded a bit like other people's GPs though, very, "oh you can get it anywhere!" attitude. I must say that after reading your web links I do feel that I will be fine in school but I have said to our head that I will be requesting a blood test if there are any cases actually within school as I'm likely to be in contact with those children. Do you think that sounds sensible?
    Sarah, I do have to agree with the other posters. You have to look after yourself and the baby I know how difficult it can be when your head isn't supportive but you can be confident that you are in the right to stay off school. Good luck!
    Sx
     
  14. Test results back at last. I am immune and my results showed no signs of any recent infection *phew* Back to work on Wednesday....
     
  15. sunshinesarah

    sunshinesarah New commenter

    Thats great news! How long did results take to come back?
     
  16. 13 days....
     
  17. Hi OP, Relax. I know it is hard but your baby's safety comes first. I am currently at home 9 weeks PG, and off as a parent approached me last Monday and said, "Oh I think it's slapped cheek but she [daughter] seems OK...". I was off during first pregnancy for 2 weeks waiting for blood test results. Got three opinions and all advised to be off. Lucky I did as I'm not immune. Midwife said same again this time, so my Easter hols have begun early, although am using the time to get paperwork done. By the time I go back after Easter I will have had scan so can tell parents and advise them to be vigilant. Take care.
     
  18. Just read this thread all the way through. I have a friend who is in early stage of pregnancy. Slapped cheek is going round like wildfire with at least three cases in her class. When she asked about her safety the head said that if she took time off she would have to use some of her maternity time and pay. Is this legal?
     
  19. No. Not legal or correct. She can be signed off and it would be classed as pregnany related.
     
  20. Hello,

    Just waned to add in my experience. During the February half term (I was about 15 weeks pregnant) we had a text from school to say that there had been a confirmed case of slapped cheek. I phoned the midwife who said I needed a bloodtest. I literally had to fight with the GP to get a test (he had to google Slapped Cheek!). I retrned to work as there had been no more cases but had said to my head that I would be worried if any more children caught it.

    About 2 weeks later my blood test results had shown that I had recently caught 'something' but the drs were not sure what - by this time my bloods had been to 3 different hospitals. I s off sick with something else and had just text my head to say I'd be back in the next day when we received another text to say there had been another case. I phoned my head and said I was goingto go to my GP to see hwat they suggested as I was no prepared to put the health of my baby at risk.

    My GP (a different one at the surgery) signed me off immediately for a week during which time my results came back to show that I had caught slapped cheek in early pregnancy. I was beside myself and rang my midwife centre, they booked me an appointment straight away so I could listen to the baby's heartbeat for reassurance. The specialist screening midwife also called me to explain everything and thishelped to reassure me.

    I had my 20 week scan as usual which showed no signs of the slapped cheek having affected the baby but have had extra scans at 24 (where the consultant and screening midwife were present) and 26 weeks and ma due to have 2 more at 28 and 30 weeks jus to make sure.

    It turns out that I had caught slapped cheek before anyone at school had been diagnosed - the GP said I had probbaly caught it walking down the street and had shown no symptoms whatsoever - I am probably the cause of the outbreak at school to be honest!

    It looks like, luckily, my baby and I are going to be fine but I really think you should take precautions until you know one way or the other!
     

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