North American Registry of Midwives (NARM) Practice Exam

What is the best current prevention method against HCMV transmission during pregnancy?

1. Vaccination against HCMV

2. Antenatal screening

3. Simple hygiene measures, like hand washing

4. Prophylactic therapies

The correct answer is: Simple hygiene measures, like hand washing

The most effective current prevention method against the transmission of Cytomegalovirus (HCMV) during pregnancy is indeed simple hygiene measures, such as hand washing. HCMV is primarily spread through bodily fluids, including saliva, urine, and breast milk. Practicing good hygiene, especially for pregnant individuals, can significantly reduce the risk of virus transmission. Hand washing after coming into contact with potentially infectious bodily fluids is crucial, particularly for caregivers or family members who may interact with young children, as children are common carriers of HCMV. This preventive strategy is straightforward and highly practical, making it accessible for pregnant individuals to implement in their daily lives. While vaccination against HCMV, antenatal screening, and prophylactic therapies are important areas of research and may offer benefits in specific contexts, as of now, they are not established as standard prevention methods like proper hygiene practices. Vaccination is still under development, and current antenatal screening may not effectively prevent transmission since it does not change the risk associated with exposure. Prophylactic therapies are also not routinely recommended for HCMV prevention during pregnancy. Thus, emphasizing simple hygiene measures stands out as the best current prevention method against HCMV transmission during pregnancy.