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{{Zika virus}}
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<span style=color:FireBrick>'''Read the CDC infographic for pregnant women and women trying to become pregnant <u>[http://www.cdc.gov/zika/pdfs/preg_areaswithzika.pdf here]</u> and on precautions for pregnant women prior to travel <u>[http://www.cdc.gov/zika/pdfs/zikapregnancyinfographic.pdf here]</u> '''</span>
 
==Overview==
==Overview==
CDC recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing. If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to [[Zika virus infection prevention|avoid mosquito bites]].
The [[CDC]] recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing. If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to [[Zika virus infection prevention#Protection Against Mosquito Bites|avoid mosquito bites]].
 
==Guidelines for Pregnant Women==
==Guidelines for Pregnant Women==
*CDC has developed interim guidelines for health care providers in the United States caring for pregnant women during a Zika virus outbreak.  
*The [[CDC]] has developed interim guidelines for health care providers in the United States caring for pregnant women during a Zika virus [[outbreak]].  
*These guidelines include recommendations for pregnant women considering travel to an area with Zika virus transmission and recommendations for screening, testing, and management of pregnant returning travelers.
*These guidelines include recommendations for pregnant women considering travel to an area with Zika virus transmission and recommendations for screening, testing, and management of pregnant returning travelers.
*Updates on areas with ongoing Zika virus transmission are available [[Zika virus infection travel notice|here]].  
*Updates on areas with ongoing Zika virus transmission are available [[Zika virus infection travel notice|here]].  


===Recommendations for Pregnant Women Considering Travel to an Area of Zika Virus Transmission===
===Recommendations for Pregnant Women Considering Travel to an Area of Zika Virus Transmission===
*Because there is neither a vaccine nor prophylactic medications available to prevent Zika virus infection, CDC recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing.
*Because there is neither a [[vaccine]] nor [[prophylactic]] medications available to prevent Zika virus infection, the [[CDC]] recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing.
*If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to avoid mosquito bites.
*If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to avoid mosquito bites.
* Mosquitoes that spread Zika virus bite both indoors and outdoors, mostly during the daytime; therefore, it is important to ensure protection from mosquitoes throughout the entire day.
* Mosquitoes that spread Zika virus bite both indoors and outdoors, mostly during the daytime; therefore, it is important to ensure protection from mosquitoes throughout the entire day.
*Mosquito prevention strategies include wearing long-sleeved shirts and long pants, using U.S.
*Mosquito bite prevention strategies include wearing long-sleeved shirts and long pants, using U.S.
*Environmental Protection Agency (EPA)–registered insect repellents, using permethrin-treated clothing and gear, and staying and sleeping in screened-in or air-conditioned rooms. When used as directed on the product label, insect repellents containing DEET, picaridin, and IR3535 are safe for pregnant women.
*Environmental Protection Agency (EPA)–registered insect repellents, using permethrin-treated clothing and gear, and staying and sleeping in screened-in or air-conditioned rooms. When used as directed on the product label, insect repellents containing DEET, picaridin, and IR3535 are safe for pregnant women.
*To learn more about avoiding mosquito bites, see[[Zika virus infection prevention#How Can Travelers Protect Themselves From Mosquito Bites|How Can Travelers  Protect Themselves From Mosquito Bites]]
*To learn more about avoiding mosquito bites, see [[Zika virus infection prevention#How Can Travelers Protect Themselves From Mosquito Bites|How Can Travelers  Protect Themselves From Mosquito Bites]]


===Recommendations for Pregnant Women with History of Travel to an Area of Zika Virus Transmission===
===Recommendations for Pregnant Women with History of Travel to an Area of Zika Virus Transmission===
*Health care providers should ask all pregnant women about recent travel. Women who traveled to an area with ongoing Zika virus transmission during pregnancy should be evaluated for Zika virus infection and tested in accordance with CDC Interim Guidance (see [[Zika virus infection laboratory findings#Laboratory Testing Among Pregnant Women|''Laboratory Testing'']]).
*Health care providers should ask all pregnant women about recent travel. Women who traveled to an area with ongoing Zika virus transmission during pregnancy should be evaluated for Zika virus infection and tested in accordance with CDC Interim Guidance (see [[Zika virus infection evaluation of pregnant women|''Laboratory Testing'']]).
*Because of the similar geographic distribution and clinical presentation of Zika, [[Dengue fever|dengue]], and [[chikungunya virus infection]], patients with symptoms consistent with Zika virus disease should also be evaluated for dengue and chikungunya virus infection, in accordance with existing guidelines (see [[Zika virus infection differential diagnosis|''Differential Diagnosis'']]).
*Because of the similar geographic distribution and clinical presentation of Zika, [[Dengue fever|dengue]], and [[chikungunya]] virus infection, patients with symptoms consistent with Zika virus disease should also be evaluated for [[dengue]] and [[chikungunya]] virus infection, in accordance with existing guidelines (see [[Zika virus infection differential diagnosis|''Differential Diagnosis'']]).
 
===Pregnancy and birth defects objectives===
<span style=color:FireBrick>'''Read the CDC infographic on pregnancy and birth defects objectives <u>[http://www.cdc.gov/zika/pdfs/zika-draft-interim-conus-plan.pdf here]</u>'''</span>


===How to Treat Pregnant Women with Diagnoses of Zika Virus Disease===
*No specific antiviral treatment is available for Zika virus disease.
*Treatment is generally supportive and can include rest, fluids, and use of analgesics and antipyretics.
To learn more about treatment of Zika virus, see [[Zika virus infection medical therapy|Medical Therapy]].
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Dermatology]]
[[Category:Pulmonology]]
[[Category:Gastroenterology]]
[[Category:Neurology]]

Latest revision as of 00:46, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Yamuna Kondapally, M.B.B.S[2]

Read the CDC infographic for pregnant women and women trying to become pregnant here and on precautions for pregnant women prior to travel here

Overview

The CDC recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing. If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to avoid mosquito bites.

Guidelines for Pregnant Women

  • The CDC has developed interim guidelines for health care providers in the United States caring for pregnant women during a Zika virus outbreak.
  • These guidelines include recommendations for pregnant women considering travel to an area with Zika virus transmission and recommendations for screening, testing, and management of pregnant returning travelers.
  • Updates on areas with ongoing Zika virus transmission are available here.

Recommendations for Pregnant Women Considering Travel to an Area of Zika Virus Transmission

  • Because there is neither a vaccine nor prophylactic medications available to prevent Zika virus infection, the CDC recommends that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing.
  • If a pregnant woman travels to an area with Zika virus transmission, she should be advised to strictly follow steps to avoid mosquito bites.
  • Mosquitoes that spread Zika virus bite both indoors and outdoors, mostly during the daytime; therefore, it is important to ensure protection from mosquitoes throughout the entire day.
  • Mosquito bite prevention strategies include wearing long-sleeved shirts and long pants, using U.S.
  • Environmental Protection Agency (EPA)–registered insect repellents, using permethrin-treated clothing and gear, and staying and sleeping in screened-in or air-conditioned rooms. When used as directed on the product label, insect repellents containing DEET, picaridin, and IR3535 are safe for pregnant women.
  • To learn more about avoiding mosquito bites, see How Can Travelers Protect Themselves From Mosquito Bites

Recommendations for Pregnant Women with History of Travel to an Area of Zika Virus Transmission

  • Health care providers should ask all pregnant women about recent travel. Women who traveled to an area with ongoing Zika virus transmission during pregnancy should be evaluated for Zika virus infection and tested in accordance with CDC Interim Guidance (see Laboratory Testing).
  • Because of the similar geographic distribution and clinical presentation of Zika, dengue, and chikungunya virus infection, patients with symptoms consistent with Zika virus disease should also be evaluated for dengue and chikungunya virus infection, in accordance with existing guidelines (see Differential Diagnosis).

Pregnancy and birth defects objectives

Read the CDC infographic on pregnancy and birth defects objectives here

References