Journal article
Estimating Contraceptive Needs and Increasing Access to Contraception in Response to the Zika Virus Disease Outbreak - Puerto Rico, 2016
MMWR. Morbidity and mortality weekly report, Vol.65(12), pp.311-314
04/01/2016
DOI: 10.15585/mmwr.mm6512e1
PMID: 27031817
Abstract
Zika virus is a flavivirus transmitted primarily by Aedes species mosquitoes. Increasing evidence links Zika virus infection during pregnancy to adverse pregnancy and birth outcomes, including pregnancy loss, intrauterine growth restriction, eye defects, congenital brain abnormalities, and other fetal abnormalities. The virus has also been determined to be sexually transmitted. Because of the potential risks associated with Zika virus infection during pregnancy, CDC has recommended that health care providers discuss prevention of unintended pregnancy with women and couples who reside in areas of active Zika virus transmission and do not want to become pregnant. However, limitations in access to contraception in some of these areas might affect the ability to prevent an unintended pregnancy. As of March 16, 2016, the highest number of Zika virus disease cases in the United States and U.S. territories were reported from Puerto Rico. The number of cases will likely rise with increasing mosquito activity in affected areas, resulting in increased risk for transmission to pregnant women. High rates of unintended and adolescent pregnancies in Puerto Rico suggest that, in the context of this outbreak, access to contraception might need to be improved. CDC estimates that 138,000 women of reproductive age (aged 15-44 years) in Puerto Rico do not desire pregnancy and are not using one of the most effective or moderately effective contraceptive methods, and therefore might experience an unintended pregnancy. CDC and other federal and local partners are seeking to expand access to contraception for these persons. Such efforts have the potential to increase contraceptive access and use, reduce unintended pregnancies, and lead to fewer adverse pregnancy and birth outcomes associated with Zika virus infection during pregnancy. The assessment of challenges and resources related to contraceptive access in Puerto Rico might be a useful model for other areas with active transmission of Zika virus.
Details
- Title: Subtitle
- Estimating Contraceptive Needs and Increasing Access to Contraception in Response to the Zika Virus Disease Outbreak - Puerto Rico, 2016
- Creators
- Naomi K. Tepper - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USAHoward I. Goldberg - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USAManuel I. Vargas Bernal - Puerto Rico Dept Hlth, Mayaguez, PR USABrenda Rivera - Puerto Rico Dept Hlth, Mayaguez, PR USAMeghan T. Frey - CDC, Div Congenital & Dev Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USAClaritsa Malave - Off Reg Operat, Hlth Resources & Serv Adm, Rockville, MD 20857 USAChristina M. Renquist - CDC, Div Congenital & Dev Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USANabal Jose Bracero - University of Puerto Rico-MayaguezKenneth L. Dominguez - CDC, Div HIV AIDS Prevent, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Atlanta, GA 30333 USARamon E. Sanchez - Univ Puerto Rico, Family Planning Program Title X Clin Preven, Mayaguez, PR USACarrie K. Shapiro-Mendoza - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USABlanca R. Cuevas Rodriguez - PROFAMILIAS, Santiago, ChileRegina M. Simeone - CDC, Div Congenital & Dev Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USANicki T. Pesik - CDC, Natl Ctr Emerging & Zoonot Infect Dis, Atlanta, GA 30333 USAWanda D. Barfield - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USAJean Y. Ko - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USARomeo R. Galang - CDC, Div HIV AIDS Prevent, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Atlanta, GA 30333 USAJanice Perez-Padilla - VectorKara N. D. Polen - CDC, Div Congenital & Dev Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USAMargaret A. Honein - CDC, Div Congenital & Dev Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USASonja A. Rasmussen - CDC, Div Publ Hlth Informat Disseminat, Ctr Surveillance Epidemiol & Lab Serv, Atlanta, GA 30333 USADenise J. Jamieson - CDC, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA
- Resource Type
- Journal article
- Publication Details
- MMWR. Morbidity and mortality weekly report, Vol.65(12), pp.311-314
- Publisher
- CENTERS DISEASE CONTROL
- DOI
- 10.15585/mmwr.mm6512e1
- PMID
- 27031817
- ISSN
- 0149-2195
- eISSN
- 1545-861X
- Number of pages
- 4
- Language
- English
- Date published
- 04/01/2016
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446277902771
Metrics
5 Record Views