SOGC Committee opinion on the management of a pregnant woman exposed to or infected with Ebola virus disease in Canada

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An asymptomatic pregnant woman with a history of exposure to Ebola should have a management plan if symptoms appear.

Guidance is given on obstetric management in the time before EVD is confirmed, including moving the woman to an appropriate medical facility, but it is noted that some features of EVD are also similar to known complications of pregnancy. Detailed guidance is given for the management of labour and of the neonate. This committee opinion was prepared based on a review of the general management of a pregnant woman, after a search of three databases in October 2014. The article reviews the history of Ebola Virus Disease (EVD) outbreaks and modes of transmission, together with an outline of treatment guidance. Because many healthcare workers and local populations are women, this is a priority area for work. Outcomes for pregnant women and their fetuses have been reported to be poor.

 

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