Assalamu alaikum ,, I have had a history of torch with the death of the first child … then a month of therapy and finally pregnant for the second child and during pregnancy for up to 6 months, I continue to take anti-viral drugs and thank God gave birth to a healthy child who is now 2 years old ,,. I am currently 4w pregnant .. how about my current pregnancy? is it still necessary to take anti-vitus drugs and have to do another laboratory test? Is the torch test safe for pregnant women?
Wa alaikumsalam, thank you for asking at HealthReplies.com. TORCH is the name of a group of diseases, namely Toxoplasma, Other (syphilis, chicken pox, measles, HIV and Zika), Rubella, Cytomegalovirus and Herpes simplex. These diseases are combined because they all have the potential to cause fetal abnormalities or defects, both those that arise from the womb, to those that only appear after the child is born. Disabilities can range from mental disabilities, blindness, deafness, immune system disorders and so on, even leading to death like what you have experienced.
The problem is that not all of these diseases cause symptoms in adults. Toxoplasma and cytomegalovirus, for example, people are often not aware that they are infected, and in fact the person can recover without treatment. What is dangerous is when it comes to pregnant women. That is why a TORCH examination is necessary before planning to become pregnant even though you do not feel any complaints.
Regarding your question, if you have previously done a TORCH examination and have undergone treatment, you don't need to do several tests such as the Toxoplasma, Rubella, CMV and HSV tests because you are already protected by your immune system. However, a disease such as syphilis can re-infect, so if you experience symptoms, then consult a doctor. Our advice is that you still have to reconfirm the information you receive from us with your obstetrician to make sure there are no misunderstandings, because we also do not evaluate you after treatment and examine you directly. The TORCH test in pregnant women is safe, and is routinely done for pregnant women who did not have time to do a pre-pregnancy test to determine which treatment could have just started in the middle of pregnancy. So, hopefully it answers your question.
dr. Amadeo D. Basfiansa