Journal article
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. Morbidity and mortality weekly report, Vol.66(29), pp.781-793
07/28/2017
DOI: 10.15585/mmwr.mm6629e1
PMCID: PMC5657812
PMID: 28749921
Abstract
CDC has updated the interim guidance for U.S. health care providers caring for pregnant women with possible Zika virus exposure in response to 1) declining prevalence of Zika virus disease in the World Health Organization's Region of the Americas (Americas) and 2) emerging evidence indicating prolonged detection of Zika virus immunoglobulin M (IgM) antibodies. Zika virus cases were first reported in the Americas during 2015-2016; however, the incidence of Zika virus disease has since declined. As the prevalence of Zika virus disease declines, the likelihood of false-positive test results increases. In addition, emerging epidemiologic and laboratory data indicate that, as is the case with other flaviviruses, Zika virus IgM antibodies can persist beyond 12 weeks after infection. Therefore, IgM test results cannot always reliably distinguish between an infection that occurred during the current pregnancy and one that occurred before the current pregnancy, particularly for women with possible Zika virus exposure before the current pregnancy. These limitations should be considered when counseling pregnant women about the risks and benefits of testing for Zika virus infection during pregnancy. This updated guidance emphasizes a shared decision-making model for testing and screening pregnant women, one in which patients and providers work together to make decisions about testing and care plans based on patient preferences and values, clinical judgment, and a balanced assessment of risks and expected outcomes.
Details
- Title: Subtitle
- Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure - United States (Including U.S. Territories), July 2017
- Creators
- Titilope Oduyebo - Centers for Disease Control and PreventionKara D Polen - Centers for Disease Control and PreventionHenry T Walke - Centers for Disease Control and PreventionSarah Reagan-Steiner - Centers for Disease Control and PreventionEva Lathrop - Centers for Disease Control and PreventionIngrid B Rabe - Centers for Disease Control and PreventionWendi L Kuhnert-Tallman - Centers for Disease Control and PreventionStacey W Martin - Centers for Disease Control and PreventionAllison T Walker - Centers for Disease Control and PreventionChristopher J Gregory - Centers for Disease Control and PreventionEdwin W Ades - Centers for Disease Control and PreventionDarin S Carroll - Centers for Disease Control and PreventionMaria Rivera - Centers for Disease Control and PreventionJanice Perez-Padilla - Centers for Disease Control and PreventionCarolyn Gould - Centers for Disease Control and PreventionJeffrey B Nemhauser - Centers for Disease Control and PreventionC Ben Beard - Centers for Disease Control and PreventionJennifer L Harcourt - Centers for Disease Control and PreventionLaura Viens - Centers for Disease Control and PreventionMichael Johansson - Centers for Disease Control and PreventionSascha R Ellington - Centers for Disease Control and PreventionEmily Petersen - Centers for Disease Control and PreventionLaura A Smith - Centers for Disease Control and PreventionJessica Reichard - Centers for Disease Control and PreventionJorge Munoz-Jordan - Centers for Disease Control and PreventionMichael J Beach - Centers for Disease Control and PreventionDale A Rose - Centers for Disease Control and PreventionEzra Barzilay - Centers for Disease Control and PreventionMichelle Noonan-Smith - Centers for Disease Control and PreventionDenise J Jamieson - Centers for Disease Control and PreventionSherif R Zaki - Centers for Disease Control and PreventionLyle R Petersen - Centers for Disease Control and PreventionMargaret A Honein - Centers for Disease Control and PreventionDana Meaney-Delman - Centers for Disease Control and Prevention
- Resource Type
- Journal article
- Publication Details
- MMWR. Morbidity and mortality weekly report, Vol.66(29), pp.781-793
- DOI
- 10.15585/mmwr.mm6629e1
- PMID
- 28749921
- PMCID
- PMC5657812
- ISSN
- 0149-2195
- eISSN
- 1545-861X
- Language
- English
- Date published
- 07/28/2017
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446067502771
Metrics
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