Department of Obstetrics and Gynecology and Division of Maternal Fetal Medicine, Duke University Medical Center, Durham, NC, USA.
Obstet Gynecol Surv. 2011 Aug;66(8):515-25. doi: 10.1097/OGX.0b013e3182385fde.
Parasitic infections affect tens of millions of pregnant women worldwide. These infections lead directly and indirectly to a spectrum of adverse maternal and fetal/placental effects. With the increase in global travel, healthcare providers will care for women who have recently moved from or traveled to areas where these infections are endemic. We reviewed the literature, assessing case reports, case series, and prospective and retrospective trials, to provide guidelines for management of common parasitic infections in pregnancy. Parasitic infections tend to preferentially affect 1 part of the maternal-fetal unit. Thus, we categorize parasitic infections into those that preferentially cause harm to the mother, preferentially affect the fetus, and preferentially affect the placenta.
Obstetricians and Gynecologists, Family Physicians, and Nurse Midwives.
After completing this CME activity, physicians should be better able to differentiate immune modulators associated with parasitic infection and their relationship to adverse pregnancy outcomes; assess the specific effects of certain parasitic infections on the gravid female, her placenta, and her fetus; and in addition, design a treatment regimen for pregnant women presenting with a parasitic infection.
寄生虫感染影响全球数千万孕妇。这些感染直接和间接导致一系列不良的母婴和胎儿/胎盘影响。随着全球旅行的增加，医疗保健提供者将照顾最近从寄生虫感染流行地区移民或旅行来的妇女。我们回顾了文献，评估了病例报告、病例系列、前瞻性和回顾性试验，为妊娠期间常见寄生虫感染的管理提供了指南。寄生虫感染往往优先影响母体-胎儿单位的 1 个部分。因此，我们将寄生虫感染分为优先对母亲造成伤害、优先影响胎儿和优先影响胎盘的感染。
妇产科医生、家庭医生和助产士。
完成这项 CME 活动后，医生应能够更好地区分与寄生虫感染相关的免疫调节剂及其与不良妊娠结局的关系；评估某些寄生虫感染对孕妇、胎盘和胎儿的具体影响；并为患有寄生虫感染的孕妇设计治疗方案。
