{"id":4858,"date":"2022-07-08T14:03:13","date_gmt":"2022-07-08T02:03:13","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/?page_id=4858"},"modified":"2025-05-05T14:26:11","modified_gmt":"2025-05-05T02:26:11","slug":"congenital-cmv","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/","title":{"rendered":"Congenital CMV"},"content":{"rendered":"\n<p><strong>Infection:<\/strong> Congenital Cytomegalovirus (CMV) infection<\/p>\n\n\n\n<p>Also refer to: <a href=\"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/cytomegalovirus-cmv\/\">How do I diagnose &#8211; CMV<\/a> <\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Brief description:<\/summary><div class=\"ab-accordion-text\">\n<ul class=\"wp-block-list\">\n<li>CMV is the commonest cause of congenital infection.<\/li>\n\n\n\n<li>It causes a self-limiting infection in immune-competent children and adults, however infection of the developing fetus can cause more serious sequelae.<\/li>\n\n\n\n<li>Most pregnant women with CMV infection will not pass it to their fetus.<\/li>\n\n\n\n<li>If fetal infection occurs, around 10-20% of children will develop long-term sequelae.<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Did you know?<\/summary><div class=\"ab-accordion-text\">\n<ul class=\"wp-block-list\">\n<li>Primary (acute) infection during pregnancy may result in fetal infection in up to ~40% of cases, whereas with reactivation\/reinfection in women with past CMV it is ~1%.<\/li>\n\n\n\n<li>However, because past infection in many populations is far more common than acute infection during pregnancy, on a population level, reactivation\/reinfection is usually responsible for more congenital CMV infections overall.<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Diagnostic approach:<\/summary><div class=\"ab-accordion-text\">\n<ul class=\"wp-block-list\">\n<li>Routine screening in pregnant women is not recommended.<\/li>\n\n\n\n<li>Test in pregnant women with mononucleosis-like illness.<\/li>\n\n\n\n<li>Test in pregnant women with fetal USS findings that may suggest congenital infection.\n<ul class=\"wp-block-list\">\n<li>Bilateral cerebral periventricular calcifications are the most characteristic findings.<\/li>\n\n\n\n<li>A number of other USS findings may be seen, including other CNS abnormalities, hyperechoic bowel, IUGR, ascites\/pleural\/pericardial effusion, hepatosplenomegaly.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice: maternal mononucleosis-like illness<\/summary><div class=\"ab-accordion-text\">\n<p><strong>If maternal mononucleosis-like illness) <\/strong>request<strong> \u201c<\/strong><a href=\"https:\/\/scg.labapps.nz\/#\/WEL\/details\/26952\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>CMV<\/strong> <strong>serology<\/strong><\/a>&#8220;:<\/p>\n\n\n\n<p><strong>CMV IgG <\/strong>indicates infection <strong>at some point in time <\/strong>(can be acute <strong>or<\/strong> past infection)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Excellent <strong>sensitivity<\/strong> &#8211; negative result <strong>excludes<\/strong> CMV infection (unless tested <strong>within the first 2-3 weeks<\/strong> of symptoms)<\/li>\n\n\n\n<li>Excellent <strong>specificity<\/strong> &#8211; positive result <strong>confirms<\/strong> infection at some stage<\/li>\n<\/ul>\n\n\n\n<p><strong>CMV IgM<\/strong> is used to diagnose <strong>primary (acute) infection<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Good <strong>sensitivity<\/strong> &#8211; negative result makes <strong>primary infection unlikely<\/strong><\/li>\n\n\n\n<li>Poor<strong> specificity &#8211; positive <\/strong>result<strong> doesn\u2019t necessarily indicate acute infection<\/strong><\/li>\n\n\n\n<li>IgM can remain positive for many months after resolved primary infection, or reappear with other unrelated illnesses<\/li>\n\n\n\n<li>Because of the importance of diagnosing acute CMV in pregnancy, women with a positive IgM should be <strong>discussed with a clinical microbiologist<\/strong> regarding further confirmatory testing (which may include <strong>CMV IgG avidity testing<\/strong>).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice: abnormal USS findings<\/summary><div class=\"ab-accordion-text\">\n<p><strong>If abnormal USS findings): <\/strong>request<strong> \u201c<a href=\"https:\/\/scg.labapps.nz\/#\/WEL\/details\/26952\" target=\"_blank\" rel=\"noreferrer noopener\">CMV serology<\/a>\u201d<\/strong><\/p>\n\n\n\n<p><strong>CMV IgG <\/strong>indicates infection<strong> at some point in time <\/strong>(can be acute<strong> or <\/strong>past infection)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Excellent <strong>sensitivity<\/strong> &#8211; negative result <strong>excludes congenital CMV<\/strong> as cause of USS findings<\/li>\n\n\n\n<li>Poor <strong>specificity<\/strong> &#8211; positive result indicates <strong>maternal infection<\/strong> at some point in time, but gives no indication as to whether infection may have passed to fetus<\/li>\n<\/ul>\n\n\n\n<p>If the CMV IgG is positive then the decision on whether to pursue further investigations to determine whether the fetus is infected is complicated and invasive, and should be <strong>in conjunction with a maternal fetal medicine specialist<\/strong>.<\/p>\n\n\n\n<p>Factors influencing decisions include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Would confirming infection alter management during the pregnancy, or can it wait until baby is born (at which point diagnosis is straightforward)?<\/li>\n\n\n\n<li>How suggestive of congenital CMV are the USS findings?<\/li>\n\n\n\n<li>Is the CMV IgM also positive (i.e. possible recent acute maternal infection)?<\/li>\n<\/ul>\n\n\n\n<p>If antenatal diagnosis is pursued, then <strong>amniocentesis<\/strong> <strong>for<\/strong> <strong><a href=\"https:\/\/scg.labapps.nz\/#\/WEL\/details\/26975\" target=\"_blank\" rel=\"noreferrer noopener\">CMV PCR<\/a><\/strong> is the test of choice:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sensitivity is <strong>excellent<\/strong> if performed <strong>&gt;20 weeks gestation<\/strong> and <strong>&gt;6 weeks after possible primary maternal infection<\/strong>, otherwise sensitivity is lower.<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Postnatal diagnosis test of choice:<\/summary><div class=\"ab-accordion-text\">\n<p>Request<strong> \u201cCMV PCR on infant <a href=\"https:\/\/scg.labapps.nz\/#\/WEL\/details\/27903\" target=\"_blank\" rel=\"noreferrer noopener\">urine <\/a>(or saliva)\u201d<\/strong><\/p>\n\n\n\n<p>If performed <strong>within the first 21 days of life<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Excellent<strong> sensitivity&nbsp;&#8211; <\/strong>negative result<strong> excludes <\/strong>congenital CMV infection<\/li>\n\n\n\n<li>Excellent<strong> specificity &#8211; <\/strong>positive result<strong> confirms <\/strong>congenital CMV infection<\/li>\n<\/ul>\n\n\n\n<p>If performed after this time period, results can be <strong>difficult to interpret<\/strong>, as they could represent <strong>post-natally-acquired<\/strong> CMV infection. Discuss with a clinical microbiologist.<\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\"><strong>Tests to avoid\/specialist tests:<\/strong><\/summary><div class=\"ab-accordion-text\">\n<p><strong>CMV PCR\/viral load on blood:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>This is seldom used in this context, and only under the guidance of a clinical microbiologist.<\/li>\n<\/ul>\n\n\n\n<p><strong>CMV PCR<\/strong> on \u2018Guthrie\u2019\/\u2019newborn blood spot card\u2019<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Has poor sensitivity, but sometimes used under specialist guidance if unable to obtain urine sample in first 21 days of life.<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\"><strong>Other considerations:<\/strong><\/summary><div class=\"ab-accordion-text\">\n<ul class=\"wp-block-list\">\n<li>Confirmation of congenital infection in a fetus or neonate only tells you congenital infection <strong>has occurred<\/strong>, it <strong>does not tell you<\/strong> whether the infection will cause <strong>sequelae<\/strong> or not.<\/li>\n\n\n\n<li>If primary infection is suspected during pregnancy, the antenatal \u2018booking\u2019 sample can often be retrieved for parallel testing to determine if the woman already had past CMV infection.<\/li>\n<\/ul>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"Infection: Congenital Cytomegalovirus (CMV) infection Also refer to: How do I diagnose &#8211; CMV","protected":false},"author":18,"featured_media":0,"parent":4222,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"class_list":["post-4858","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Congenital CMV &#8211; Awanui Labs - Wellington<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Congenital CMV &#8211; Awanui Labs - Wellington\" \/>\n<meta property=\"og:description\" content=\"Infection: Congenital Cytomegalovirus (CMV) infection Also refer to: How do I diagnose &#8211; CMV\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/\" \/>\n<meta property=\"og:site_name\" content=\"Awanui Labs - Wellington\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-05T02:26:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2023\/08\/Awanui-Labs-Lab-Technician-min.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"917\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/congenital-cmv\\\/\",\"url\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/congenital-cmv\\\/\",\"name\":\"Congenital CMV &#8211; Awanui Labs - Wellington\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#website\"},\"datePublished\":\"2022-07-08T02:03:13+00:00\",\"dateModified\":\"2025-05-05T02:26:11+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/congenital-cmv\\\/#breadcrumb\"},\"inLanguage\":\"en-NZ\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/congenital-cmv\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/congenital-cmv\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"For Referrers\",\"item\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Microbiology resources\",\"item\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"How do I diagnose?\",\"item\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/for-referrers\\\/microbiology\\\/how-do-i-diagnose\\\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Congenital CMV\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#website\",\"url\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/\",\"name\":\"Awanui Labs - Wellington\",\"description\":\"Laboratory and pathology services\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-NZ\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#organization\",\"name\":\"Awanui Labs - Wellington\",\"url\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-NZ\",\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/fl-healthscope-media.s3.amazonaws.com\\\/lab-sites\\\/uploads\\\/sites\\\/3\\\/2023\\\/08\\\/RGB_Awanui-Labs-horizonal-colour-positive.svg\",\"contentUrl\":\"https:\\\/\\\/fl-healthscope-media.s3.amazonaws.com\\\/lab-sites\\\/uploads\\\/sites\\\/3\\\/2023\\\/08\\\/RGB_Awanui-Labs-horizonal-colour-positive.svg\",\"width\":861,\"height\":133,\"caption\":\"Awanui Labs - Wellington\"},\"image\":{\"@id\":\"https:\\\/\\\/www.awanuilabs.co.nz\\\/central\\\/wellington\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Congenital CMV &#8211; Awanui Labs - Wellington","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/","og_locale":"en_US","og_type":"article","og_title":"Congenital CMV &#8211; Awanui Labs - Wellington","og_description":"Infection: Congenital Cytomegalovirus (CMV) infection Also refer to: How do I diagnose &#8211; CMV","og_url":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/","og_site_name":"Awanui Labs - Wellington","article_modified_time":"2025-05-05T02:26:11+00:00","og_image":[{"width":2000,"height":917,"url":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2023\/08\/Awanui-Labs-Lab-Technician-min.jpeg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/","url":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/","name":"Congenital CMV &#8211; Awanui Labs - Wellington","isPartOf":{"@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#website"},"datePublished":"2022-07-08T02:03:13+00:00","dateModified":"2025-05-05T02:26:11+00:00","breadcrumb":{"@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/#breadcrumb"},"inLanguage":"en-NZ","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/congenital-cmv\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/"},{"@type":"ListItem","position":2,"name":"For Referrers","item":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/"},{"@type":"ListItem","position":3,"name":"Microbiology resources","item":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/"},{"@type":"ListItem","position":4,"name":"How do I diagnose?","item":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/microbiology\/how-do-i-diagnose\/"},{"@type":"ListItem","position":5,"name":"Congenital CMV"}]},{"@type":"WebSite","@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#website","url":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/","name":"Awanui Labs - Wellington","description":"Laboratory and pathology services","publisher":{"@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-NZ"},{"@type":"Organization","@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#organization","name":"Awanui Labs - Wellington","url":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/","logo":{"@type":"ImageObject","inLanguage":"en-NZ","@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#\/schema\/logo\/image\/","url":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2023\/08\/RGB_Awanui-Labs-horizonal-colour-positive.svg","contentUrl":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2023\/08\/RGB_Awanui-Labs-horizonal-colour-positive.svg","width":861,"height":133,"caption":"Awanui Labs - Wellington"},"image":{"@id":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/#\/schema\/logo\/image\/"}}]}},"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/pages\/4858","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/comments?post=4858"}],"version-history":[{"count":12,"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/pages\/4858\/revisions"}],"predecessor-version":[{"id":6531,"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/pages\/4858\/revisions\/6531"}],"up":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/pages\/4222"}],"wp:attachment":[{"href":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/wp-json\/wp\/v2\/media?parent=4858"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}