Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-06-22T04:26:50.286Z Has data issue: false hasContentIssue false

Chapter 68 - Zika Virus Infection in Pregnancy

from Section 11 - Infectious Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

A 32-year-old healthy primigravida at 13+2 weeks’ gestation is referred by her primary care provider for urgent consultation at your high-risk obstetrics clinic. Four days ago, at the first prenatal visit, she reported feeling ‘unwell’ for a few days upon returning from an urgent family trip to a country with a Zika virus outbreak. By the time of initial prenatal visit, the patient had recovered from her illness; examination was unremarkable. First-trimester dating sonography was concordant with menstrual dates, and fetal morphology appeared normal, with a low risk of aneuploidy. Results of routine prenatal investigations are normal. The patient does not work, has healthy social habits, and takes only prenatal vitamins. She has not experienced nausea, vomiting, abdominal cramps, or vaginal bleeding. In very early gestation, she required emergent medical treatment for an allergic reaction after inadvertent exposure to a neighbor’s cat.

Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
, pp. 861 - 876
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Khalil, A, Sotiriadis, A, Chaoui, R, et al. ISUOG practice guidelines: role of ultrasound in congenital infection. Ultrasound Obstet Gynecol. 2020;56(1):128151.CrossRefGoogle ScholarPubMed
Lin, KW, Kraemer, JD, Piltch-Loeb, R, et al. The complex interpretation and management of Zika virus test results. J Am Board Fam Med. 2018;31(6):924930.Google Scholar
Management of patients in the context of Zika virus: ACOG COMMITTEE OPINION, No. 784. Obstet Gynecol. 2019;134(3):e64–e70.CrossRefGoogle Scholar
Oduyebo, T, Polen, KD, Walke, HT, et al. Centers for Disease Control (CDC). Update: interim guidance for health care providers caring for pregnant women with possible Zika virus exposure — United States (including U.S. territories), July 2017. MMWR Morb Mortal Wkly Rep 2017;66:781–793.CrossRefGoogle Scholar
Pomar, L, Musso, D, Malinger, G, et al. Zika virus during pregnancy: from maternal exposure to congenital Zika virus syndrome. Prenat Diagn. 2019;39(6):420430.CrossRefGoogle ScholarPubMed
(a)Royal College of Obstetricians and Gynaecologists (RCOG)/Royal College of Midwives (RCM)/Public Health England (PHE)/Health Protection Scotland (HPS): Clinical guidelines on Zika virus infection and pregnancy. June 2016; last updated February 2019.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG)/Royal College of Midwives (RCM)/Health Protection Scotland (HPS). Zika virus: algorithm for assessing pregnant women with a history of travel during pregnancy. PHE publications gateway No. GW-187; v10 published February 2019.Google Scholar
Public Health England (PHE) publications gateway No. 2015662. Mosquito bite avoidance for travellers; August 2017, version 3.Google Scholar
Sayres, L, Hughes, BL. Contemporary understanding of Ebola and Zika virus in pregnancy. Clin Perinatol. 2020;47(4):835846.CrossRefGoogle ScholarPubMed
Society for Maternal-Fetal Medicine (SMFM) Publications Committee. Ultrasound screening for fetal microcephaly following Zika virus exposure. Am J Obstet Gynecol. 2016 Jun;214(6):B2–4.Google Scholar
(a)World Health Organization (WHO). Pregnancy management in the context of Zika virus infection. 2016. Available at www.who.int/publications/i/item/pregnancy-management-in-the-context-of-zika-virus-infection. Accessed February 11, 2021.Google Scholar
World Health Organization. Emergencies preparedness, response: psychosocial support for pregnant women and for families with microcephaly and other neurological complications in the context of Zika virus: interim guidance for health-care providers. Available at http://who.int/csr/resources/publications/zika/psychosocial-support/en/. Accessed on February 15, 2021.Google Scholar
Zorrilla, CD, García García, I, García Fragoso, L, et al. Zika virus infection in pregnancy: maternal, fetal, and neonatal considerations. J Infect Dis. 2017;216(suppl_10):S891S896.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×