Preparing for biological threats: Addressing the needs of pregnant women

Amelia K Watson; Sascha Ellington; Christina Nelson; Tracee Treadwell; Denise J Jamieson; Dana M Meaney-Delman

doi:10.1002/bdr2.1016

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Preparing for biological threats: Addressing the needs of pregnant women

Journal article

Open access

Peer reviewed

Preparing for biological threats: Addressing the needs of pregnant women

Amelia K Watson, Sascha Ellington, Christina Nelson, Tracee Treadwell, Denise J Jamieson and Dana M Meaney-Delman

Birth defects research, Vol.109(5), pp.391-398

03/15/2017

DOI: 10.1002/bdr2.1016

PMCID: PMC11323306

PMID: 28398677

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Abstract

Intentional release of infectious agents and biological weapons to cause illness and death has the potential to greatly impact pregnant women and their fetuses. We review what is known about the maternal and fetal effects of seven biological threats: Bacillus anthracis (anthrax); variola virus (smallpox); Clostridium botulinum toxin (botulism); Burkholderia mallei (glanders) and Burkholderia pseudomallei (melioidosis); Yersinia pestis (plague); Francisella tularensis (tularemia); and Rickettsia prowazekii (typhus). Evaluating the potential maternal, fetal, and infant consequences of an intentional release of an infectious agent requires an assessment of several key issues: (1) are pregnant women more susceptible to infection or illness compared to the general population?; (2) are pregnant women at increased risk for severe illness, morbidity, and mortality compared to the general population?; (3) does infection or illness during pregnancy place women, the fetus, or the infant at increased risk for adverse outcomes and how does this affect clinical management?; and (4) are the medical countermeasures recommended for the general population safe and effective during pregnancy? These issues help frame national guidance for the care of pregnant women during an intentional release of a biological threat. Birth Defects Research 109:391-398, 2017.© 2017 Wiley Periodicals, Inc.

Adult

Anthrax - microbiology

Biological Warfare - prevention & control

Biological Warfare Agents - classification

Bioterrorism - prevention & control

Botulism - microbiology

Female

Glanders - microbiology

Humans

Infant

Infant, Newborn

Melioidosis - microbiology

Plague - microbiology

Pregnancy

Pregnancy Complications, Infectious - prevention & control

Prenatal Exposure Delayed Effects - prevention & control

Smallpox - microbiology

Tularemia - microbiology

Typhus, Epidemic Louse-Borne - microbiology

Details

Title: Subtitle: Preparing for biological threats: Addressing the needs of pregnant women
Creators: Amelia K Watson - Florida College
Sascha Ellington - Centers for Disease Control and Prevention
Christina Nelson - Centers for Disease Control and Prevention
Tracee Treadwell - Centers for Disease Control and Prevention
Denise J Jamieson - Centers for Disease Control and Prevention
Dana M Meaney-Delman - Centers for Disease Control and Prevention
Resource Type: Journal article
Publication Details: Birth defects research, Vol.109(5), pp.391-398
DOI: 10.1002/bdr2.1016
PMID: 28398677
PMCID: PMC11323306
NLM abbreviation: Birth Defects Res
ISSN: 2472-1727
eISSN: 2472-1727
Publisher: Wiley
Language: English
Date published: 03/15/2017
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446067202771

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