Elham Jawad Kadhum,
- Assistant Professor, Department of Biology, Faculty of Education for Women, University of Kufa,, Iraq, Iraq.
Abstract
Rubella virus could cause a spectrum of birth defects known as Congenital Rubella Syndrome (CRS) if the infection occurs within the first or second trimester of pregnancy. Repeated miscarriage is defined as a condition with two or more consecutive abortions before the 20–25 weeks of gestation. Rubella remains to be a severe public health problem in developing countries. Recurrent miscarriage is a multi-factorial disease, which occurs in approximately 1%–2% of women at the reproductive age (Sebastian D et al., 2008). The present study was aimed to determine the Sero-prevalence of rubella infection among women with spontaneous abortion in Al-Najaf city. In this study, obtained blood samples from a total of 205 women with spontaneous abortion were enrolled from Al-Zahraa Hospital for childbirth and children in AL-Najaf Governorate/Iraq between August 2024 and January 2025. From the women aged 14–43 years, the sera were collected and stored at –80°C until uses. Rubella virus infection was diagnosed by the detection of rubella specific IgM, IgG antibodies using indirect Enzyme Linked Immunosorbent Assay (ELISA) as per manufacturer’s instructions. Data were analyzed by using SPSS version 21. The Rubella virus infection is one of the recurrent abortion causes among pregnant women in our community. In this study, 205 blood samples were collected from women with spontaneous abortion in period between August (2024) and January (2025) from obstetrics and gynecology hospital in Al-Najaf Al Ashraf governorates. The investigation was done by ELISA technology using immunological kits for demonstration of IgG, IgM antibody. Current study showed the existence of Rubella-IgM antibody by 78% compared to 22% detection of Rubella IgG antibody with significant differences. The result demonstration in Figures 1 and 2 shows that once test done in Kufa University Laboratories to give presumptive diagnosis and repeated test after 7–14 days for confirmative identification because of commonly Iraqis carry antibody for these causes and this provide overlapping results (3). This result indicated the Rubella virus infection is acute and recent. Also, the results revealed that the highest rate of miscarriage in women was within the age group (20–25) years by 32%, while the age group (37–32) years gave the lowest percentage where it was 12%, as well as the results of the study showed that 61% of Women had miscarriages in the first trimester of pregnancy. The results displayed that there were significant differences in the number of aborted women in favor of urban areas than in rural areas. Conclusion: According to the results of our research, Rubella virus is considered one of the main causes of spontaneous abortion in the province of Najaf in Iraq. This study also reveals the abortion occur in first trimester of pregnancy and then reduce in second and third trimester of pregnancy women in Iraq.
Keywords: Rubella virus, disease, recurrent abortion, Eliza, IgG antibody
[This article belongs to International Journal of Virus Studies ]
Elham Jawad Kadhum. The Role of Rubella Virus Infection among Women with Spontaneous Abortion in Al-Najaf Governorate. International Journal of Virus Studies. 2026; 03(02):1-6.
Elham Jawad Kadhum. The Role of Rubella Virus Infection among Women with Spontaneous Abortion in Al-Najaf Governorate. International Journal of Virus Studies. 2026; 03(02):1-6. Available from: https://journals.stmjournals.com/ijvs/article=2026/view=247128
References
1. Chopra S, Arora U, Aggarwal A. Prevalence of IgM antibodies to toxoplasma, rubella and cytomegalovirus infections during pregnancy. JK Sci. 2004;6(4):190.
2. Sebastian D, Zuhara KF, Sekaran K. Influence of TORCH infections in first trimester miscarriage in the Malabar region of Kerala. Afr J Microbiol Res. 2008;2(3):56–9.
3. Senlet P, Curtis SL, Mathis J, Raggers H. The role of changes in contraceptive use in the decline of induced abortion in Turkey. Stud Fam Plann. 2001;32(1):41–52.
4. Canepa P, Valle L, Cristina ML, De Florentiis D, Parodi V, Banfi F, et al. Role of congenital rubella reference laboratory: 21-months-surveillance in Liguria, Italy. J Prev Med Hyg. 2009;50(4).
5. Sotoodeh A, Jamshidi M, Farjam MR. Cytomegalovirus immunity in South of Iran. Am J Infect Dis. 2010;6(1):8–12.
6. Al-Masoudi HK. Effect of human colostrums on Entamoeba histolytica in vitro. J Med. 2009;6(2):429–32.
7. Arora U, Gumber S. Primary rubella infection: Prevalence and relationship to pregnancy wastage. J Obstet Gynaecol India. 2008;58(5):399–401.
8. Al-Fertosi RB, Juma AS. Possible cellular expression of IFNγ in a woman with abortion infected Toxoplasma gondii. Med J Islam World Acad Sci. 2006;16(3):121–34.
9. Abdul Karim ET, Abdul Muhymen N, Al Saadie M. Chlamydia trachomatis and rubella antibodies in women with full-term deliveries and women with abortion in Baghdad. East Mediterr Health J. 2009;15(6):1407–11.
10. Vueba A, Faria C, Almendra R, Santana P, Sousa MD. Seroepidemiology study of Cytomegalovirus and Rubella in pregnant women in Luanda, Angola: Geospatial distribution and its association with socio-demographic and clinical-obstetric determinants. BMC Infect Dis. 2022;22(1):124.
11. Mwambe B, Mirambo MM, Mshana SE, Massinde AN, Kidenya BR, Michael D, et al. Sero- positivity rate of rubella and associated factors among pregnant women attending antenatal care in Mwanza, Tanzania. BMC Pregnancy Childbirth. 2014;14(1):95.
12. Mirambo MM, Majigo M, Aboud S, Groß U, Mshana SE. Serological makers of rubella infection in Africa in the pre vaccination era: A systematic review. BMC Res Notes. 2015;8(1):716.
13. Kish L. Chance, statistics, sampling. J Off Stat. 1985;1(1):35.
14. Alsalim HA. Detection of Entamoeba histolytica in stool specimens among diarrheal children. Iraqi J Agric Sci. 2022;53(3):551–60.
15. Thom SM, Horobin RW, Seidler E, Barer MR. Factors affecting the selection and use of tetrazolium salts as cytochemical indicators of microbial viability and activity. J Appl Microbiol. 1993;74(4):433–43.
16. Ali MS, Qowaider SR, Almal NY, Kahald FA. Seroprevalence of antibodies to Cytomegalovirus, Rubella virus and T. gondii among aborted women in El-Beida City. Saudi J Biomed Res. 2020;5(12):357–62.
17. Okanlawon TS, Adeyemo SM, Agbaje IS. Isolation and identification of microorganisms associated with jollof rice sold at bukateria in Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria. GSC Biol Pharm Sci. 2023;22(1):178–85.
18. Baruah J, Singh LS, Salvia T, Sarma J. Antimicrobial resistance a continued global threat to public health–A perspective and mitigation strategies. J Lab Physicians. 2024;16(4):429–40.
19. Van Zant W, Ray P. Democratization of point-of-care viral biosensors: Bridging the gap from academia to the clinic. Biosensors (Basel). 2025;15(7):436.
20. Pennap G, Amauche G, Gabadi S, Agwale S, Forbi J, Ajoge H. Serologic survey of specific rubella virus IgM in the sera of pregnant women in Makurdi, Benue State, Nigeria. Afr J Reprod Health. 2009;13(2):69–73.

International Journal of Virus Studies
| Volume | 03 |
| Issue | 02 |
| Received | 18/04/2026 |
| Accepted | 24/04/2026 |
| Published | 20/06/2026 |
| Publication Time | 63 Days |
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