Measles (rubeola) is a highly contagious virus. Vaccination has nearly eradicated measles in the United States, yet sporadic outbreaks persist. Although the live-attenuated measles, mumps, rubella vaccine has not been found to cause fetal harm, pregnancy is considered a contraindication for the vaccine and contracting measles during pregnancy can have serious sequelae. Furthermore, lifelong immunity conferred by childhood vaccination is questionable as the vaccine's protection may wane during the childbearing years. Reluctance to vaccinate, or vaccine hesitancy, may leave a proportion of people of childbearing age unprotected. It is unlikely that many clinicians providing preconception, primary, and perinatal care have had occasion to diagnose measles. Susceptibility to infection combined with clinician inexperience may contribute to missed opportunities to halt the spread of this highly contagious, preventable illness. A case of parents’ religion-based vaccine hesitancy complicating the pregnancy of their adult daughter is presented. Guidelines for screening for immunity, identifying measles in the clinical setting, and protocols for mitigating spread are reviewed.

中文翻译：

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麻疹（风疹）：疫苗犹豫和怀孕的案例

麻疹（rubeola）是一种传染性很强的病毒。在美国，接种疫苗几乎已根除麻疹，但仍存在零星爆发。虽然尚未发现麻疹、腮腺炎、风疹减毒活疫苗对胎儿造成伤害，但怀孕被认为是疫苗的禁忌症，怀孕期间感染麻疹会产生严重的后遗症。此外，由于疫苗的保护作用可能会在育龄期减弱，因此儿童接种疫苗所赋予的终生免疫力值得怀疑。不愿接种，或疫苗犹豫不决，可能会使一部分育龄人群得不到保护。许多提供孕前、初级和围产期保健的临床医生不太可能有机会诊断出麻疹。对感染的易感性加上临床医生缺乏经验可能会导致错失阻止这种高度传染性、可预防疾病传播的机会。介绍了父母基于宗教的疫苗犹豫导致成年女儿怀孕复杂化的案例。审查了免疫筛查指南、在临床环境中识别麻疹以及减轻传播的协议。