Question

A woman in the first trimester of pregnancy has a history of previous toxoplasmosis and is IgG positive. What is the advice?

• A. Continue pregnancy, no risk
• B. Abort -- high risk
• C. Continue, risk exists
• D. Repeat IgM serology

Hint:

In pregnancy, toxoplasmosis is dangerous mainly when infection is acquired during pregnancy. IgG positivity suggests past infection, but fetal risk assessment may still be needed.

Answer 1

The Correct Option is C

Concept: Toxoplasmosis in pregnancy is important because primary infection during pregnancy can lead to congenital toxoplasmosis. IgG positivity usually indicates past exposure, but clinical interpretation depends on timing, avidity, and IgM status.

Step 1: Understand IgG positivity.
IgG positivity generally indicates previous infection or immunity. However, in pregnancy, especially in the first trimester, fetal risk assessment should be careful.

Step 2: Assess the given option.
The question states previous toxoplasmosis with IgG positivity. This does not directly mean immediate abortion. Pregnancy is usually continued, but risk assessment and follow-up are required.

Step 3: Choose the best advice.
Among the given options, the best answer is: \[ \text{Continue pregnancy, risk exists} \] because fetal risk cannot be ignored without proper evaluation. Therefore, the correct answer is Continue, risk exists.