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  • I remember the first time I held my baby boy, and knowing

  • my whole world was gonna change!

  • What I didn't know...was that it was gonna change 3 more times!

  • But I wouldn't have it any other way.

  • Now, between balancing my careermy familyand still being me...let me tell you, it can be a lot.

  • They're still very much so, both of them, enamored with my boobs.

  • My babies still have a whole lot of growing to do, though.

  • And I am here for it!

  • And as a woman of color, I know how important it is to empower our communities with knowledge.

  • So let me share with you what I'm learning along the way.

  • I had never heard of CMV.

  • I was so shocked to know that there was something that was so infectious that so many babies were getting

  • I have four kids!

  • And knew nothing about it, until now.

  • CMV is a herpes virus. It's not a respiratory virus.

  • So the way that a woman would be exposed, or anybody, is through human-to-human contact,

  • such as with saliva, or urine, or other bodily fluids.

  • A healthy adult may not even know they've been exposed to CMV,

  • or they might have some cold-like symptoms, but for most of us, it's a non-event in our lives

  • and we're not even aware.

  • According to the CDC, over 50% of U.S. adults will have a CMV infection by the time they're 40.

  • Look, I'm 41.

  • I don't know if I had it or not, but the people that SHOULD know about it are my pregnant women out there.

  • Because one in 200 babies in the United States are born with a congenital CMV infection.

  • Let me do the math for you there.

  • That's about 30,000 children every year.

  • And on top of that, CMV infections are higher in black infants than in white infants.

  • As a Black mom to four beautiful Black babies, I feel like I need to do what I can to help spread the word.

  • And as Black women and Black moms, we know we have to advocate for our health and the health of our children.

  • So we have to do everything in our power to lower the risk of CMV infections.

  • A baby can get the virus from the mom.

  • So the virus crosses the placenta, not all the time, but when it does, then the baby can have fetal infection

  • and can even have some damage due to that virus while they're in utero, while they're inside the mom.

  • So not every pregnant person with a CMV infection will pass it to their child in utero.

  • But of the babies born with congenital CMV, about 1 in 5 will have long-term health issues.

  • And the reality isthere's a pretty big range when it comes to their symptoms.

  • It may cause some brain damage, we might have intracranial calcification,

  • that seeing the baby may be microcephalic, meaning it has a small head when the baby is born,

  • something is not right with the baby.

  • But then other babies who we've seen, they may just end up with their rash at birth,

  • they may have like a little bit of jaundicekind of yellowing of the skin

  • they may have an enlarged spleen or liver, they may have elevated liver enzymes

  • something that triggers the doctor to go, "Oh, we need to check this out on this newborn baby."

  • So on one end of the spectrum a baby is born with some obvious signs that there was an infection.

  • But on the other end?

  • The vast majority of infants when they're born are probably about 90%.

  • They look like normal, healthy babies.

  • They're in the well-baby nursery, they go home after two days,

  • they don't have any problems at that point due to CMV that are detectable.

  • Even though if we tested them, we would find out they had CMV.

  • I've learned that the most common symptom doesn't always show up right away.

  • I think probably the most common symptom is hearing loss.

  • So actually, after genetic causes, CMV is probably the second leading cause of permanent hearing loss in children.

  • Other signs to look out for are potential issues with your infant's vision, and/or delays in the development of their motor skills.

  • Now I'm not trying to scare you,

  • but I am trying to pass this info along because according to the National CMV Foundation,

  • even though it's the leading infection among infants,

  • only 9% percent of women are actually aware of it.

  • So to be certain that it's congenital CMV that occurred during pregnancy, you have to test in the first three weeks of life.

  • So if you're at home and you have suspicions that something isn't right, you gotta get to your pediatrician quick.

  • And once you have that diagnosis...

  • one thing the baby could see is an infectious disease specialist in pediatrics,

  • you want them to be able to see an audiologist and get hearing tested.

  • Depending on the symptoms, they might need to see a neurologist, some children may need physical therapy,

  • but almost every state, you can have early intervention needs met through the state programs.

  • Basically early intervention is like getting the services needed

  • hearing aids, cochlear implants, and physical therapy.

  • We have these services that can have a child have their full potential.

  • And so that's really important to know that and then also, to know when a child is born, if they have CMV,

  • even if they have normal hearing, you can follow them over time to make sure,

  • at least the first six years of life, that they don't develop hearing loss later due to CMV.

  • And I'm sure if you're just like me, you're wondering, what can pregnant parents do to lower the risk of transmission?

  • So probably the most common way a young woman or a family member would get CMV is through exposure to young children.

  • So children acquire CMV, maybe at the nursery, some children acquire it through breastfeeding from their mom.

  • And it's not causing them a problem.

  • And eventually they share the virus through their saliva, urine. So through bodily fluids.

  • And as anybody that has a toddler knows they share lots of bodily fluids with us.

  • So they're kissing us with sloppy kisses.

  • They're sharing what they put in their mouth and want you to put it in your mouth, we share food and drink.

  • And so a way that we could lower the risk in pregnant women is to not do those things while you're pregnant.

  • Don't share saliva with a toddler or a baby, whether it's your own baby, your own toddler,

  • or your friend's and family's children because that is how women may acquire the virus while they're pregnant

  • and then transmit it to the fetus.

  • Wash your hands after you've changed diapers and things like that.

  • There are so many things that they forewarn you of in your doctor's visits and your prenatal visits.

  • But this is something that I was never made aware of.

  • And let me tell you, I'm always kissing up on babies.

  • I was like, Oh girl, you might need to pull back.

  • We'll never know the full burden of congenital CMV until we do universal screening of newborns.

  • And any program that we develop where we're talking to women about CMV,

  • we need to make sure we include a conversation for all women, including those communities of color.

  • So it's important to tell your people about CMVyour family, your friends, and any pregnant women you see.

  • Thank you for watching Seeker Baby!

  • I'm Angel Laketa Moore, and I hope you're learning as much about babies as I am.

  • If there's a baby topic you want us to cover, leave us a comment, and keep coming back to Seeker for more on babies.

  • See you next time.

I remember the first time I held my baby boy, and knowing

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