Rubella is an infectious viral illness of little consequence unless contracted by a pregnant woman in the first half of her pregnancy. A full programme of immunisation with the MMR vaccine should provide protection but for the unprotected pregnant women, contact with a case or the development of a rash needs full investigation to confirm the diagnosis or rubella, assessment as to the risk to the child of developing CRS and or deafness, and counselling if the option of termination is tobe considered.